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47 Cards in this Set
- Front
- Back
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Your spleen stores how much blood? PG 1535
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500ml = 1 Pint
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What is the root cause for Pernicous Anemia? PG 1539
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Lack of Intrinsic Factor prevents the absorption of B12.
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Aplastic Anemia is caused from what? PG 1540
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Depressed bone marrow results in defective and decreased RBC’s
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"
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It is indicative of a Hgb value of 8 or less.
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Iron Deficiency Anemia treatment is what?
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"Ferrous Sulfate (z track injection)
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Excess bands (immature WBC’s) and “shift to the left” are seen in what lab?
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CBC with Differential (you must order the differential
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What is Phagocytosis?
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Cell death by eating
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Where are RBC produced?
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Red bone marrow.
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What increases /decreases Iron absorption?
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Caffein ↓, Juice and leafy green vegetables ↑.
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What population is most affected by Sickle Cell Anemia? PG 1544
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1 out of 500 African Americans have this disease.
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How do you treat Polycythemia? PG 1546
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Therapuetic phlebotomy (remove 500-2000ml of blood r=to reach a Hct of 45-48%
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What is the outcome of Polycythemia?
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↑RBC, Hgb and results in hyperviscosity.
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What is Heterozygous?
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Single gene, 2 diffrent genes
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What is Homozygous?
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Genes form both parents.
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What is a Nursing Intervention for Agranulocytosis? PG 1547
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Wash hands to avoid infection.
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New patient diagnosed with Leukemia: what Nursing Dx would you give? PG 1549
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Ineffective coping-chronic pain.
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What is a treatment for Thrombocytopenia? PG 1553
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Teach patient to avoid trauma and falling.
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Hemophilia Disorders? PG 1554
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"Hereditary coagulation disorder.
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What is Disseminated Intravascular Coagulation (DIC)? PG 1556
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Over clotting and bleeding problems.
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What is a Nursing Intervention for Multiple Myeloma? PG 1558
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Patient should maintain 3-4L of fluid a day to dilute the extra calcium
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Hodgkins Disease causing pruritis, what can help sooth it? Pg 1560
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Soothing bath with anti-pruritis medication.
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How many stages to Hodgkins Disease and where are they seen? Pg 1560
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4 Stages; Stages 1-2 are local and stages 3-4 are systemic.
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What do you teach the patient with Beurgers? PG 1641 Q24
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Stop smoking- smoking is a major risk factor and primarily affects men ages 20-40 y/o.
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Troponins are what? PG 1579-1594
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Proteins that are excreted from the heart (muscles and tissue). These are indicative of an MI.
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If your patient has 4+ pitting edema and has been Dx with CHF what would be your Nursing Dx? PG 1614
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Impaired gas exchange
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If your N Dx is “ineffective tissue perfusion what would be your Nursing Intervention? PG 2138
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No caffeine, exercise regularly, elevate feet and change positions q2hrs.
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Endocarditis
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What is the Tx for 3rd degree heart block? PG 1587
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A pacemaker is surgically placed in the R Atria or R ventricle. Location is based on electrical failure.
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Orthopnea means what? PG 1603
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Difficulty breathing without standing or sitting.
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What are contraindications of a heart transplant?
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Patients with DM, Fever, Infection, or Secondary Infection.
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What is the leading cause of HTN? PG 1623
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smoking
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What are the S/Sx of a pt with the possible Dx of Aortic Aneurysm? PG 1627-1628
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Chest pain, SOB, dysphagia
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What is a n Aneurism?
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Distended, dilated segment of an artery.
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If your patient has HTN and has gained 30lbs, has a high Na+ diet what would be your NDx?
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Knowledge Deficit
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Your patient has CHF and has been to the hospital 3 times in 4 months, she is said to be non-compliant what should you do?
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Collect more information for the non-compliance
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What is the first line Tx for Pulmonary Edema? PG 1609
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O2, Digoxin, Ace Inhibitors, Beta Blockers (know examples of these).
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What are cardinal S/Sx of Pulmonary Edema vs CHF?
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Frothy, Bloody Sputum, Productive Cough.
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What do you give for the first signs of Angina? PG 1589 PG 1641 #13
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Nitro q5 minutes up to 15 minutes (3 tabs). 5 minutes apart. Check BP/P.
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What is Low Molecular Weight Heparin is used for?
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Prevention of Venous Thrombosis; an example is Fragmin and Arixtra
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Jugular distention, Liver enlargement, Edema of the extremities and ABD distention are S/Sx of what? Pg 1641 #17
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R side CHF.
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S/Sx of Polycythemia
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"Sensitive to hot and cold
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S/Sx Leukemia
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"Pain in bones and joints
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S/Sx Thrombocytopenia
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"Petechiae
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S/Sx Hemophilia
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* Hemarthrosis- bleeding into joint space, especially in joint knees and elbows.
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S/Sx Disseminated Intravascular Coagulation (DIC)?
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"Bleeding; hemoptysis
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S/Sx Multiple Myeloma
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"Bone pain; pathological fractures
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S/Sx Hodgkins Disease.
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"Enlargement of cervical lymph nodes.
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