-
Anemia causes (3)
- acute/chronic blood loss
- decrease production
- increased destruction
-
S&S mild anemia (4)
- hgb 10-12
- exertional dyspnea
- palpitations
-
Moderate anemia ( 4)
- hgb 6-10
- SOB at rest
- increased palpitations
- fatigue
-
severe anemia s&s (8)
- pallor
- tachycardia
- tachpnea
- vertigo
- irritability
- impairthought process
- RESTLESSNESS
- lethargic
-
Iron deficiency anemia , people at risk
-
Ferrous Sulfate Side Effects & nursing implications
- SE: dark stools & constipation
- Implications: give 1 before or 2 hrs after meals
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Iron rich food
- liver
- muscle meats
- eggs
- green leafy vegies
- legumes- beans, lupins, nuts
- whole grains
- fortified breads& meats
-
B12 deficient anemia treatment (5)
- oral/sublingual tablets
- red meats
- liver
- eggs
- enriched eggs
-
folic acid anemia cause (6)
- poor nutrition
- malabsorption
- drugs
- alcohol
- anorexia
- hemodialysis
-
folic acid anemia treatment (6)
- liver
- meat
- fish
- legumes
- whole grains
- green leafy vegies
- *meds turn your urine BRIGHT yellow
-
Aplastic anemia patho (4)
- autoimmune disorder
- fatal if untreated 3/4 of the time
- pancytopenia
- needs allogenic bone gragh
-
Types of blood loss
- Acute: trauma/surgery
- chronic: menstruation, ulcers, hemorroids
-
Thrombocytopenia purpura patho/ S&S (7)
- autoimmune disorder
- -petichia
- -purpura
- -ecchymosis
- -nose bleeds
- -gum bleeds
- -internal bleeding
-
Thrombocytopenia purpura treatment (3)
- corticosteroids
- spleenectomy
- transfusion
-
Leukemia Types (4)
- Lymphocytic: chronic/acute
- myelogenous: chronic/acute
-
Leukemia S&S (5)
- related to bone marrow failure
- *pancytopenia
- enlarged liver & spleen
- fatigue
- headache
-
Leukemia labs
- really high WBC's (immature)
- pancytopenia
-
Chemotherapy goals for leukemia (4)
- decrease drug resistance
- minimize toxicity
- hit multiply phases of cell cycle
- mayneed 6-9 months of treatment
-
phases of chemotherapy for leukemia
- Induction: try to bring remission
- Intensification: same drug,, higher doses
- consolidation: adjuvant
- maintenance: lower to keep remission
-
Radiation goal for leukemia
whole body radiation to prep for bone marrow transplant
-
HSCT complication (5)
- infection
- hemorrhage
- graft failure
- relapse
- graft vs host
-
Graft vs host disease patho/ s&s
- Tcells in donor marrow attacks patient's cells
- redness & peeling hands and feet
- rash on trunk, ears, hands and feet
- anorexia, N/V/D
- dryness
- infection
-
hodgkins lymphoma characteristics ( 4)
- reed-sternberg cells
- epsteinbarre virus
- HIV
- start out at single location
-
lymphoma staging
- I: single node
- II: 2 or more nodes on one side of diaphragm
- III: nodes on both sides of diaphragm
- IV: areas outside the nodes are affected
-
Multiple myeloma patho
abnormal proliferation of plasma cells ->overcrowding in bone marrow -> draws calcium out of bones!
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