Med Surg

Front 1

RBC count for women and men

Back 1

female 4-5
males 4.5-6

Front 2

HBG count for females and males

Back 2

female 12-16
male 13.5-18

Front 3

hct count

Back 3

female 38-47
male 40-54

Front 4

iron def anemia symptoms

Back 4

burning tongue, pallor, inflammation of lips, sore tongue, headache, parenthesis

Front 5

Thalassemia

Back 5

iron def r/t inadequate production of hgb
problem with globin synthesis

Front 6

Thalassemia major

Back 6

blood transfusion to keep hgb at 10, even w/tx still risk for growth failure, hemochromatosis and cardiac failure

Front 7

cobalamin def anemia symptoms

Back 7

sore tongue, anorexia, n/v, abd pain, wkness, paresthesia feet/hands, reduced vibratory and position sensations, ataxia, muscle wkness, impaired thought processes

Front 8

cobalamin tx

Back 8

administer parentally daily for 2 weeks, then weeky until normal, then monthly for life

Front 9

folic acid deficiency

Back 9

symptoms same as cobalamin except neuro, dypepsia, beefy tongue

Front 10

aplastic anemia

Back 10

reduced RBC production, all marrow elements are decreased. tx w/bone marrow transplant and immunosuppressive therapy

Front 11

blood loss sx

Back 11

20-no sx at rest, tachycardia w/activity adn slight postural hypotension
30-normal supine bp and p @ rest, postural hypotension and tachycardic w/exercise
40-loss bp, cvp, and co below normal at rest, rapid thready pulse, cold clammy skin

Front 12

sickle cell sx

Back 12

delayed growth and development, failure to thrive, pain

Front 13

complications of sickle cell

Back 13

foot/hand syndrome, ischemic heart leads to CHF, pulmonary hypertension, heart failure, retinal detachment leads to blindness, kidney injury from increased viscosity

Front 14

glucose 6 phosphate dehyrogenase deficiency

Back 14

reduction in glucose used by rbcs leading to damage of old rbcs and destruction by hemolysis

Front 15

hemochromatosis

Back 15

increased iron absorption resulting in increased tissue iron deposits

Front 16

hemachromatosis sx

Back 16

liver enlargement (cirrhosis), diabetes, skin pigmentation, cardiac changes, arthritis, testicular atrophy

Front 17

polycythemia

Back 17

production and presence of increased RBCs impairing blood circulation---viscosity
secondary is compensation

Front 18

polycythemia sx

Back 18

htn, headache, vertigo, tinnitus, dizzines, vertigo, angina, CHF,

Front 19

polycythemia complications

Back 19

CVA, hemorrhage, pneumonia, heptomegay/cplenomegaly

Front 20

platelet count

Back 20

should be 150,000-400,000
<20,000 spontaneous bleeding

Front 21

idiopathic, immune thrombocytopenia

Back 21

platelet covered with antibody that is identified as foreign in spleen and destroyed. chronic form is 20-40 yo

Front 22

thrombotic thrombocytopenia

Back 22

enhanced agglutination of platelets forming micro-thrombi in arterioles and capillaries---may be from use of estrogen or pregnancy. 20-50 yo

Front 23

Willebrand Disease

Back 23

hereditary bleeding disorder more in males, defective coagulation factor

Front 24

willebrand disease sx

Back 24

slow persistent bleeding, delayed bleeding from minor wounds, gi bleeding, gastritis, hematuria, subq hematoma, neuro sx, can lead to early death, primarily in children.

Front 25

willebrand disease tx

Back 25

administrate clotting factors, rest joint if bleeding in joint

Front 26

disseminated intravascular coagulation DIC

Back 26

abnormally initiated and accelerated clotting leading to decrease in clotting factors and platelets-bleeding with no cause

Front 27

neutropenia

Back 27

wbc norm 4000-11000 (50-70%), this is 1000-1500-suspicious for bone marrow suppression and reduced immunity

Front 28

neutropenia tx

Back 28

identify cause, identify organism causing infection, heatopoietic growth factors administered (neupogen); protective isolation, precautions, monitor for infection

Front 29

acute mylolytic leukemia

Back 29

60-70yo, fatigue, wkness, mouth sores, bleeding, fever, infection, sternal tenderness (CBC, hypercellular bone marrow w/myeloblasts)

Front 30

chronic mylolytic leukemia

Back 30

25-60yo, no early sx, fatigue, wkness, joint and bone pain, massive splenomegaly, increased sweating (CBC, philadelphia chromosome, low leukocyte count, low alkalin phosphatase)

Front 31

acute lymphocytic leukemia

Back 31

hepatosplenomegaly, lymphadenopathy, incrased ICP, headache, fever, pallor, bleeding mouth sores(CBC, hypercellular bone marrow w/lymphoblasts)

Front 32

chronic lymphocytic leukemia

Back 32

no usual sx, found on routine exam, chronic fatigue, anorexia, spleno, hepto,megaly, lymphadenopathy. (mild anemia, thrombocytopenia, increased peripheral and bone marrow lymphoblasts

Front 33

hodgkins lymphoma

Back 33

15% of all lymphomas, proliferation of abnormal giant multinucleated celss 15-30 and above 50 yos,

Front 34

hodgkins sx

Back 34

enlargement of cervical,axillary, or inguinal lymph nodes, nodes are painless and movable except when drink alcohol, wt loss, fatigue, wkness, fever, chills, tachy, night sweats

Front 35

non hodgkins

Back 35

variety of malignant neoplasms of the immune system affecting all ages

Front 36

non hodgkins sx

Back 36

painless lymph node enlargement, fever, night sweats, wt loss, depends on location

Front 37

multiple myeloma

Back 37

plasma cell myeloma, neoplastic plasma cells infiltrate bone marrow and destroy bone