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CHA 1: Exam 1 Hematology Study Guide with Complete Solutions

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CHA 1: Exam 1 Hematology Study Guide with Complete Solutions definition of anemia - Answer️️ -reduction in number of RBCs, Blood hemoglobin content, or hematocrit *not a specific disease, occurs with many conditions such as iron deficiency, genetic disorders, or bone marrow disease Mild a...

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  • August 29, 2024
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SophiaBennett
©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM


CHA 1: Exam 1 Hematology Study Guide
with Complete Solutions

definition of anemia - Answer✔️✔️-reduction in number of RBCs, Blood
hemoglobin content, or hematocrit



*not a specific disease, occurs with many conditions such as iron
deficiency, genetic disorders, or bone marrow disease

Mild anemia

s/sx - Answer✔️✔️-10-14 hbg

dyspnea/palpitations

moderate anemia - Answer✔️✔️-6-10 hbg fatigue dyspnea and palpitations

severe anemia - Answer✔️✔️-<6 hbg

who is at risk for anemia - Answer✔️✔️--nutritional deficiency (B12, folic
acid, iron-->diet or malabsorption)

-blood loss (hemhorrage or heavy menstration or loss in GI bleed)

-hemolysis (sickle cell or incompatible blood or aplastic)

Common manifestations of anemia - Answer✔️✔️-fatigue, dyspnea on
exertion, palpitations, pallor, intolerance to cold

Common labs of anemia (increased or Decreased)



1

, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM

-RBCs

-WBCs

Serum Iron

-Hem occult

-Colonoscopy - Answer✔️✔️-decreased

decreased

decreased



blood in stool

may be do to find specific spot of bleeding

Anemia nursing interventions - Answer✔️✔️--maintain 90% O2

-encourage periods of rest

-increase iron, B12, folic acid in diet

-Z-track injection of iron

-blood transfusion (<6)

Oral Iron complications - Answer✔️✔️-Can cause GI distress, constipation;
may need to take with food and OJ for

better absorption

If liquid, give with straw to prevent teeth staining



2

, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM

1 unit of blood will raise the Hgb how much? - Answer✔️✔️-1 Hgb

Blood Transfusion Nursing Considerations - Answer✔️✔️--18 g (min. 20 g)

-y tubing with a filter

-prime NS

-nothing else in line

-confirm ID, blood compatibility, and expiration (2 RNs)

-client education

-baseline VS

-administer w/in 30 min

-stay with client for first 15-30 min-150mL/hr (400 mL total, 2-3 hrs)

Blood Transfusion Reaction - Answer✔️✔️--stop

-antidote, emergency meds

-symptom management

-notify HCP

Blood transfusion reaction s/sx - Answer✔️✔️-Shaking chills

SOB, chest pain, low back pain,

Hives/itching

Feeling of "something not right"

Hypotension, tachycardia, tachypnea


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