MED SURG TEST 1

Question 1

Two pathways to clotting

Answer 1

Intrinisic pathway

Extrinsic pathway

Question 2

Intrinsic pathway

Answer 2

must be stimulated by the extrinsic pathway.

Question 3

Whats Anemia

Answer 3

deficiency in the

• number of erythrocytes. (RBCs)
• Quantity of hemoglobin
• Volume of packed red blood cells (hematocrit)

Question 4

Difference between Hemoglobin and Hematocrit

Answer 4

Hemoglobin is a physical count and Hematocrit is a percentage and should be 3 times hemoglobin

Question 5

Three causes of anemia

Answer 5

1. decreased Red Blood Cell production. not making enough
2. Blood loss. Acute of Chronic loss. usually from slow Gi bleed.
3. Increased RBC destruction. hemolysis related anemia.

Question 6

what results will you have with a Upper Gi bleed

Answer 6

coffee ground emesis

Question 7

what results will you have with a lower GI bleed

Answer 7

black.thick tarry stool

Question 8

what are causes of increased red blood cell destruction

Answer 8

medications, sickle cell disease, transfusions, invasive medical products like dialysis

Question 9

Clinical manifestations of anemia.

Answer 9

caused by bodies response to tissue hypoxia

-hbg levels are used to determine the severity of anemia.

Question 10

ranges for mild, moderate and severe anemia

Answer 10

MILD- hbg 10-12 g/dl
MODERATE- hbg 6-10 g/dl
SEVERE- hbg < 6 g/dl

Question 11

Integumentary manifestations

Answer 11

Pallor- from decreased hbg and blood flow to the skin
Jaundice- from increased concentration of serum bilirubin caused from destruction of RBC
Pruitis- from increased serum and skin salt concentrations. salt comes thru skin.