Hematology and Immunology Anemias

Question 1

anemia
- defintion

Answer 1

lower than normal hemoglobin concentration

Question 2

3 causes/types of anemia

Answer 2

hypo proliferative
hemolytic
blood loss

Question 3

what is hypo proliferative

Answer 3

decrease in production

Question 4

causes of hypoproliferative

Answer 4

iron/b12/folate deficiency
cancer
decreased erythropoietin

Question 5

who is going to have decreased erythropoietin

Answer 5

kidney disease
- kidneys produce erythropoietin

Question 6

what is hemolytic

Answer 6

excess destruction of rBC

Question 7

example of hemolytic

Answer 7

sickle cell

Question 8

hemolytic patients might have

Answer 8

Jaundice

Question 9

examples of blood loss

Answer 9

GIB
nosebleed
truama
mesntration

Question 10

clinical manifestations

Answer 10

fatigue
weakness
pallor
jaundice
cardiac/resp symptoms
tongue changes
nail changes
PICA
angular chelosis
- sores in corner of mouth

Question 11

symptoms depend on

Answer 11

onset

Question 12

why do we not immediately tranfuse the patient

Answer 12

increase risk

Question 13

why might the patient not be aware of slow onset

Answer 13

body compensates

Question 14

diagnostic testing

Answer 14

hemoglobin and hematocrit
reticulocyte
bilirubin
iron studies
vit b12
folate
RBC indices
bone marrow

Question 15

reticulocyte count in hyperproliferative

Answer 15

decreaed

Question 16

reticulycote count in hemolytic

Answer 16

increase

Question 17

medical management

Answer 17

treatment depends on type
- diet
- supplement
- transfusions
- immunosuppresive

Question 18

what risk might these patients be at

Answer 18

injury related to falls

Question 19

goals

Answer 19

decreased fatigue
attainment and or maintence of adequate nutrition
maintence of adequate tissue perfusion
compliance with prescribed therapy
absence of complications

Question 20

nursing interventions
- actives

Answer 20

balance with rest

Question 21

iron
- food

Answer 21

do not take with food

Question 22

iron stool

Answer 22

black stool

Question 23

iron-
- constipation prevention

Answer 23

prevent with fluids, and exercise

Question 24

what is most common anemia

Answer 24

iron

Question 25

iron anemia manifestations

Answer 25

typical presentation
sore tongue
rigid nailes
angular cheilosis

Question 26

iron anemia
- how to fix

Answer 26

diet and supplements

Question 27

anemia in renal disease occurs in association of a serum CR greater than

Answer 27

3

Question 28

renal disease anemia treatment

Answer 28

recumbent erythropoietin
- Epoetin alfa
- Epogen
- Procrit
- Aranesp