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Nursing III > Need for Oxygen > Flashcards

Need for Oxygen Flashcards

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1
Q

Polyphenols

A

found in tea and coffee. It makes it harder for patient to absorb iron.

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2
Q

toxic liquid found in candles & what can it cause?

A

benzene; anemia, leukemia

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3
Q

What is foot-strike hemolysis?

A

runners can develop this, RBC are broken down in feet, they can have blood in urine

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4
Q

When is iron deficiency anemia most common in children?

A

2-6 months because that is when they stop drinking formula

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5
Q

s/s of iron deficiency

A

brittle nails, sore or swollen tongue, cracks in mouth, enlarged spleen, pica, restless leg syndrome

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6
Q

What foods have iron in it?

A

Red meat, organ meat, broccoli, green leafy foods, beans, spirulina, eggs, whole grains

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7
Q

What should you take/ not take with iron?

A

Should take with vit c, should not take with calcium 30 mins before or after taking iron

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8
Q

What is Iron Dextran (Inferon)?

A

it treats iron deficiency, its given in the vastus lateralis and you use the z-track method. Draw it up with one neeedle and give it with another needle.

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9
Q

OD on iron is most common at what age?

A

12 months - 2 years

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10
Q

what does the tubing look like when doing a blood transfusion?

A

y-shaped with a filter

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11
Q

What do you do first before transfusing blood?

A

check order with another nurse, prime line with NS check to see if patient had a previous rxn from blood in the past, VS, give blood within 30 mins of getting blood and within 4 hours of transfusion

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12
Q

What along with benadryl can you take if you have an allergic rxn?

A

Solu-cortef

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13
Q

what blood type can AB receive?

A

It’s the universal recipient

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14
Q

what blood type can O recieve?

A

O

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15
Q

What blood type can AA, AO receive?

A

AA, AO, OO

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16
Q

What blood type can BB, BO, OO receive?

A

BB, BO, OO

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17
Q

Acute hemolytic transfusion rxn s/s

A

hypotension, temp increase >2 degrees, chest pain, diaphoresis

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18
Q

Coagulopathy

A

transfusion complication where the hosts clotting factors/ platelets are diluted

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19
Q

Hypothermia

A

transfusion complication that happens because blood is cold

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20
Q

Why is hyperkalemia a transfusion rxn complication?

A

may be increased in if RBC burst during transfusion

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21
Q

Why is hypokalemia and metabolic alkalosis a transfusion rxn complication?

A

it can happen is a large amount of citrated cells are transfused

22
Q

If a patient doesn’t want a blood transfusion, what can we do instead?

A

give Erythropoietin (Procrit, Epogen) or Neupogen (to increase WBC or Leukine (To increase macrophage count)

23
Q

Iron should be given where IM?

A

large muscle

24
Q

Folic Acid deficiency is common in?

A

alcoholics, patients receiving TPN and elderly and people on antiseizure meds

25
Q

If a patient is on Dilantin or Phenabaritol what should you check for?

A

folic acid deficiency

26
Q

The body needs folic acid to make?

A

WBC, RBC, Platelets & for normal growth

27
Q

How is folic acid consumed?

A

PO/IM/diet

28
Q

Folic acid foods

A

Okra, asparagus, liver, cooked dry beans

29
Q

Vitamin B 12 is necessary for?

A

synthesis of DNA, cell division and maturation

30
Q

What happens to your cells without vit B12?

A

they are fragile and have a shortened life span

31
Q

What is the intrinsic factor and why is it important?

A

Intrinsic factor is secreted by gastric mucosa and absorbs vitamin B12.

32
Q

Pernicious anemia

A

form of B12 deficiency because with this, you have no intrinsic factor and so you cant absorb vitamin B12

33
Q

s/s of pernicious anemia

A

parathesia, forgetfulness, decreased prorioception, dizziness. These symptoms can come at random

34
Q

Chronic diseases that can cause anemia

A

RA, Chronic infections, cancers

35
Q

what happens when you have anemia of renal disease? and how do you treat it?

A

there is a decrease in erthropoietin and a decrease in RBC. You treat it with epoetin or darbepoetin

36
Q

Aplastic anemia

A

bone marrow stops producing enough new blood cells so you don’t have enough RBC, WBC & Platelets

37
Q

What are you at risk for with Aplastic anemia?

A

bleeding

38
Q

What can cause aplastic anemia?

A

toxic chemicals, drugs, viral infections, autoimmune disorder, bone marrow diseases

39
Q

what is HR like with aplastic anemia?

A

increased,, prolonged bleeding,

40
Q

What do you do to treat aplastic anemia

A

transfusion, cure: stem cell transplant

41
Q

Hemolytic Anemia

A

destruction of RBC

42
Q

Treatment for acquired hemolytic anemia

A

steriod therapy, removal of spleen, transfusions

43
Q

two types of inherited hemolytic anemia

A

sickle cell & Thalassemia

44
Q

Sickle cell anemia treatment goal

A

ease pain during crsis and prevent crisis

45
Q

If one parent is a carrier of sickle cell and the other parent is not, what will kids be like?

A

50% of being a carrier or not

46
Q

If both parents are carriers what will kids be like?

A

25% it will have the disease or not and 50% it will be a carrier

47
Q

sickle cell crisis s/s

A

severe fever which can cause: seizures, ischemia, stroke, MI, HF, kidney or lunge damage

48
Q

Sickle cell treatment

A

hydrate, folic acid, oxygen, antibiotics, analgesics,

49
Q

Hydroxyurea & Nitric Oxide is given when and to whom

A

sickle cell patients, its a long term medication

50
Q

What is Thalassemia? s/s

A

its the over production of iron. s/s: enlarged spleen/liver. Poor prognosis

Nursing III (25 decks)

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