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ZOEY NUR 111 Unit 3 > Unit 3 Anemias ADPIE > Flashcards

Unit 3 Anemias ADPIE Flashcards

1
Q

what anemia has this

Manifestation;

Decreased hematorcit and hemoglobin levels

Decreased serum ferritin levels

Tachypnea

Shortness of breath

Tachycardia

Pallor

Fatigue

Blood loss

Changes in level of consciousness

Cognitive impairment

Glossitis

Physical abnormalities “spoon shaped nails”

A

Iron Deficiency Anemia

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2
Q

what anemia has this

Diagnosis;

Inadequte tissue perfusion

Related to decreased oxygen delivery as a result of decreased iron stores

Fatigue

Related to inadequate oxygenation to body tissues

Activity intolerance

Related to impaired oxygen carrying capacity secondary to IDA

A

Iron Deficiency Anemia

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3
Q

what anemia has this

Interventions Assessment;

Vital signs

Serum hemoglobin and ferritin levels

Fatigue, pallor, shotness of breath

Level of consciousness

Blood loss, if present

A

Iron Deficiency Anemia

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4
Q

what anemia has this

Intervenstion Actions:

Increase dietary iron

Increase intake of vitamin c

Administer iron-supplement therapy

Minimize blood loss

A

Iron Deficiency Anemia

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5
Q

what anemia has this

Intervention Teaching;

Dietary sources of iron

Immediately report any signs of bleeding, increasing fatigue, shortness of breath

Daily iron supplements must be taken as prescribed

Dangers of lead exposure

Prenatal teaching about iron intake

A

Iron Deficiency Anemia

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6
Q

what anemia has this

Manifestation;

Neurological

Numbness, tingling, burning in hads or feet

Altered mood status (confused, dementia)

Depression

Mood swings

Coordination and balance

Impaired taste , stiging sensation on the toung

Verbal disturbances

A

Vitamin B 12 Anemia

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7
Q

what anemia has this

Diagnosis;

Inadequte tissue perfusion

Related to decreased oxygen as a result of decreased hemoglobin and hemocrit

Activity intolerance

Related to impaired oxygen-carryingcapacity secondary to vit. B12 deficiency

Chronic pain

Related to inadequete vitamin B12 levels as evidenced by peripheral neuropathy

A

Vitamin B 12 Anemia

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8
Q

what anemia has this

Interventions Assessment;

Vital signs

fatigue, pallor, shotness of breath

Numbness, tingling, burning of hands or feet; confusion ; mood swings

Decreased hemoglobin/hematocrit levels, decreased vit. B12 levels, elevated serum and urine MMA levels

Fall risk

Intake and output

A

Vitamin B 12 Anemia

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9
Q

what anemia has this

Intervenstion Actions;

Monitor use of folic acid

Monitor use of nitrous oxide

Asses pain and activity levels due to peripheral neuropathy

A

Vitamin B 12 Anemia

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10
Q

what anemia has this

Intervention Teaching;

Dietary sources

Need supplementation

Immediately report any clinical manifestation of fatigue, shortness of breath, peresthesias, and confusion

Prenatal teaching

Radiation for advanced cancers

Actins of acid-reducing medications

A

Vitamin B 12 Anemia

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11
Q

what anemia has this

Manifestation;

Shorness of breath

Tachypnea

Tachycardia

Fatigue

Pallor

Dizziness

Confusion, disorientation

Decreased hemoglobin

Elevated hemocysteine level with normal serum MMA levels

A

Folic Acid Deficiency

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12
Q

what anemia has this

Diagnosis;

Inadequte tissue perfusion

Related to decreased oxygenation as a result of decreased hemoglobin and hematocrit

Activity intolerance

Related to impaired oxygen-carrying capacity secondary to folate deficiency

Risk for delayed development

Related to incomplete ube closure secondary to folate deficiency

A

Folic Acid Deficiency

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13
Q

what anemia has this

Interventions Assessment;

Vital signs

Fatigue, pallor, shortness of breath

Confusion, disorientation

Hemoglobin levels, serum folte levels, RBC folate levels, increased serum folate levels

A

Folic Acid Deficiency

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14
Q

what anemia has this
Intervenstion Actions;

Ensure adequete folate/folic acid intake

Administer folic acid supplements

Differentiate anemia caused by folic acid deficiency versus vitamin B12 deficiency

A

Folic Acid Deficiency

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15
Q

what anemia has this

Intervention Teaching;

Dietary sources of folate/ folic acid

Immediately report any clinical manifestations of fatigue, shortness of breath, dizziness, and confusion

Prenatal teaching

Need for supplementation

A

Folic Acid Deficiency

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16
Q

what anemia has this

Manifestation;

Shortness of breath

Tachycardia

Elevated temperature

Brusing

Bleeding gums

Nosebleeds

Fatigue

Pallor

Dizziness

Headache

A

Aplastic Anemia

17
Q

what anemia has this

Diagnosis;

Activity intolerance

Related to decreased oxygen carrying capacity secondary to decreased RBCs

Risk for injury

Related decreased platelets secondary to bone marrow suspension

Risk for infection

Related to decreased WBCs seondary to bone marrow suspension

A

Aplastic Anemia

18
Q

what anemia has this

Interventions Assessment;

Vital signs

CBC results

Bonemarrow results

Oxygen saturation

Signs of bleeding

Fatigue and pallor

Dizziness and headache

A

Aplastic Anemia

19
Q

what anemia has this

Intervenstion Actions;

Provide supplemental oxygen

Administer blood products

Implement bleeding precautions

Protect from injury

A

Aplastic Anemia

20
Q

what anemia has this

Intervention Teaching;

Avoid exposure to potential infections\report all temperature elevations

Avoid activities with the pontential for trauma or injury

Clinical manifistations of anemia

Nutritional intake

A

Aplastic Anemia

21
Q

what anemia has this

Manifestation;

Jaundice- biliruben build up from hemolysis

Dark urine- biliruben build up from hemolysis

Shotness of breath

Tachycardia

Pallor

Decresed RBCs & HGb

Elevated liver enzimes

Enlarged spleen

A

G6PD

22
Q

what anemia has this

Manifestation;

Jaundice- biliruben build up from hemolysis

Dark urine- biliruben build up from hemolysis

Shotness of breath

Tachycardia

Pallor

Decresed RBCs & HGb

Elevated liver enzimes

Enlarged spleen

A

G6PD

23
Q

what anemia has this

Manifestation;

Shortness of breath, especially when suspine

Fatigue

Dizziness

Headache

Pruritus- especially after a warm bath

Flusihng or fullness in th eupper left abdomin (engorged spleen/liver)

Vision problems

Weight loss

A

Polycythemia Vera

24
Q

what anemia has this

Diagnosis;

Ineffective tissue perfusion

Related to hyperviscosity and poor oxygen

Activity intolerance

Relted to impaired tissue perfusion secondary to hyperviscosity and poor oxygen

Risk for ineffective coping

Related to clinial manifestations of shortness of breath, fatigue, itching, anorexia

A

Polycythemia Vera

25
Q

what anemia has this

Interventions Assessment;

Shotness of breath

Headache

Dizziness

Generalized pruritus- after warm bath

Flushing of the face

Feeling of fullness

Fatigue

Vision problems

Weight loss

RBCs, hemoglobin, hematocrit

Bonemarrow biopsy results

Erythropoietin level

Vital signs during phlebotomy

Uric acid levels

A

Polycythemia Vera

26
Q

what anemia has this Intervenstion Actions

Obtain routine CBCs

Increase fluis intake

Ensure adequate rest

Elevate lower extremities when sitting

Modify cardiovascular risk factors

A

Polycythemia Vera

27
Q

what anemia has this Intervention Teaching

Clinical manifestation of severe thromboembolic events

Rationale for aggressive hydration

Eat small, frequent meals

Avoid tight, restrictive clothing

Avoid extreme hear/ cold

Observe bleeding precautions

Regular blood test

Genetic testing

A

Polycythemia Vera

28
Q

what anemia has this Manifestation;

Ecchymosis

Petechiae

Nosebleeds

Bleeding gums

Black, tarry stool

hematuria

A

Thrombocytopenia- Hemophilia

29
Q

what anemia has this
Diagnosis;

Risk of injury: bleeding

Related to decreased number pf platelets

Risk for effective therapeutic regimen management

Related to possible frequent administration of platelets/ clotting factors

Fear

Related to hemorage from low platelet count

A

Thrombocytopenia- Hemophilia

30
Q

what anemia has this

Interventions Assessment;

Platelet vount

Ecchymosis

Petechiae/purpura

Frank bleeding

Nose bleeds

Bleeding gums

Black tarry stools

hematuria

A

Thrombocytopenia- Hemophilia

31
Q

what anemia has this

Intervenstion Actions;

Implement bleeding precautions

Minimize blood loss from lacerations or venepunture

Avoid intramuscular injections

Avoid rectal temperatures, enemas, suppositories, douches

Provide a safe nvironment

Unse minimal inflation when assesing blood presure

Minimize blood draws

A

Thrombocytopenia- Hemophilia

32
Q

what anemia has this Intervention Teaching;

Insturct patient / family on bleeding precautions

Intruct the patient to avoid sexual intercourse when the platelet count is less than 50,000/mm

Necessity of frequent CBCs, laboratory tests

A

Thrombocytopenia- Hemophilia

33
Q

what anemia has this

Outcome;

Prevent hemorrage

Provide suppportive care and treat the underlying condition

A

Thrombocytopenia- Hemophilia

ZOEY NUR 111 Unit 3 (8 decks)

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