5 Written Questions
5 Matching Questions
- Aplastic Anemia
- Aplastic Anemia
- Iron Deficiency Anemia
- B12 Deficiency (AKA Pernicious Anemia, Collaborative Care)
- a abnormally small erythrocytes
- b Inadequate intake, malabsorption, blood loss.
Manifestations: Pallor, glossitis, sensitivity to cold, weakness and fatigue
- c Assess CV/R status, fall and injury risks
Nutrition/Vitamins: B6, C, B12, Folic acid
Medications: B12 IM, PO, Other forms
Provide mouth care before and after meals
- d Dyspnea, increased R and P, palpitations, bleeding, epistaxis, melena, purpura, petechiae, ecchymosis, skin pallor
- e CBC: MCV normal, normocytic, normochromic
Pancytopenia -/+, decreased RBCs, WBCs, Platelets. 3 MAJOR CONCERNS- anemia, hemorrhage, infection
Bone Maroow Bx: fatty marrow, decreased stem cells.
5 Multiple Choice Questions
- Congential or acquired (-70% idiopathic)
Affects multiple systems. ex: increased P & R; headache, pallor, jaundice, pruritis, sore mouth, exhausted all the time, sensitive to cold,syncope
- both sides of diaphram or with spleen or contiguous extralymphatic site
- measures the amount of oxygen-carrying protein in the blood.
- Medication therapy:corticosteroids, Imuran
IV immunoglobulin and anti-Rho. Platelet transfusions. Safety: injury and infection protection. Possible spleenectomy
5 True/False Questions
Sickle Cell Anemia → possible triggers; strenuous exercise, increased altitude, cold, vasoconstrictive drugs.
Manifestations: dark/bloody urine, irritability, pale, lethargy, severe pain, low-grade fever, tissue anoxia
B12 Deficiency (AKA Pernicious Anemia Diagnostics) → Tingling & parethesia of hands and feet.
Weight loss, anorexia, dyspepsia, sore mouth
Imbalance possibilities + Romberg
Extralympatic → tissue other than lymph nodes, thymus, spleen, Waldeyer's ring, appendix & Peyer's patches
Sickle Cell Anemia (Collaborative Care) → Assess CV & R status, stool, urine, and emesis
Provide mouth, skin, foot care
Nutrition: Iron rich foods, vitamin B6 and C, avoid coffee/tea.
Medications: Antiemics, ie: ferrous sulfate, iron
Erythropoietin → A hormone produced and released by the kidney that stimulates the production of red blood cells by the bone marrow.