Unit 1: Anemia

Question 1

What 2 words describe Sickle Cell Disease and why?

Answer 1

Perfusion – reduced perfusion to all body systems as sickled cells stick together

Pain – lack of perfusion leads to pain from hypoxia

Question 2

What could put a patient in a crisis?

Answer 2

Infection, extreme temp, stress, high altitude, smoking, dehydration

Question 3

What nursing interventions are necessary to care for a patient admitted in a sickle cell crisis?

Answer 3

Hydration, pain management, oxygen, warm room, no restricting clothes, no bending legs
Transfusion

Question 4

List some complications of sickle cell disease and how nurses can prevent them from happening while caring for them in the hospital.

Answer 4

Respiratory infections: antibiotics, hydration, IS, TCDB.
DVT: hydration, ambulation
Stroke: hydration, transfusion

Question 5

5. Describe symptoms and treatment for the following:
   -iron deficiency anemia:

Answer 5

spoon nails, fissures in mouth, weak, pallor, fatigue
Treat with foods: red meat, eggs, beans, leafy greens, raisins, or supplement or IV iron dextran

Question 6

5. Describe symptoms and treatment for the following:
   -vit B12 deficiency:

Answer 6

paresthesia, fatigue, glossitis, pallor
Treat with foods: fish, nuts, cheese, meat, eggs, milk, citrus fruits, or supplement

Question 7

5. Describe symptoms and treatment for the following:
   -folic acid deficiency

Answer 7

like B12, poor nutrition, and alcoholism.

Foods are the same as B12

Question 8

What are the general symptoms of anemia?

Answer 8

Weakness, pallor, fatigue

Question 9

What labs would be assessed with anemias?

Answer 9

• CBC
  – H & H
  – hgb is the iron-rich protein in red blood cells that carries oxygen