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NUR200 Test With Complete Solution
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NUR200 Test With CompleteSolution
Vinca Alkaloids - Answer vincristine, vinblastine
Anemia causes - Answer -nutrient deficiency
-destruction of rbcs
-excessive blood loss
general anemia clinical manifestations - Answer -SOB, dyspnea
-fatigue
-pallor
-dizziness
-tachycardia
-palpitations
-systolic murmurs
-less commonly: bone pain, sternal tenderness
Hematocrit normal range - Answer female: 37-47%
male: 42-52%
Hemoglobin normal range - Answer 12-18 grams/dL
high hemoglobin may indicate: - Answer hemoconcentration caused by polycythemia
(inc. of rbc) or dehydration
low hemoglobin may indicate: - Answer anemia or recent hemorrhage
high hematocrit may indicate: - Answer hemoconcentration caused by polycythemia
(inc. of rbc) or dehydration
low hematocrit may indicate: - Answer anemia, blood loss, or fluid volume excess
WBC normal range - Answer 4,500-11,000/mm3
Platelet count normal range - Answer 150,000-400,000/mm3
,RBC count normal range - Answer male: 4.6 - 6.2 million/mm3
female: 4.2 - 5.4 million/m3
Reticulocyte count normal range - Answer 0.5-1.5%
Reticulocytes are - Answer immature RBCs
reticulocyte may be increased with: - Answer blood loss or hypoxic conditions
MCV (mean corpuscular volume) - size of the RBC - Answer 80-100 fL
MCH (mean corpuscular hemoglobin) - pigmentation of the RBC - Answer 25.4-34.6
pg/cell*
(commonly used: 27 - 31 pg/ cell)
MCHC (mean corpuscular hemoglobin concentration) - average concentration of
hemoglobin in the RBC - Answer 32 - 36 g/dL
nutritional anemia - Answer -iron
-vitamin B12 (pernicious)
-folic acid
iron anemia causes - Answer -diet low in iron (meat, fish, poultry)
-pregnancy
-gastric bypass
-infants of premature birth
-infants with excessive intake of milk
-premature infants exclusively fed breast milk (delayed introduction of solids)
iron anemia manifestations - Answer -SOB
-fatigue
-pallor
-tachycardia
-lightheadedness
-brittle hair, nail changes
-irritability/difficulty concentrating (common in children and elderly)
iron anemia labs - Answer Hgb <12
,Hct <37
RBC <4.2million
MCV <80 (microcytic)
MCH low (hypochromic)
low serum transferrin
low ferritin
low TBIC
Iron anemia treatment - Answer -inc dietary intake (meat, poultry, fish, leafy greens,
whole grains)
-dec excessive milk in infants
-ferrous sulfate PO
ferrous sulfate side effects - Answer Nausea, constipation, stool color changes (not
harmful), diarrhea, epigastric pain
ferrous sulfate patient teaching - Answer -take with meals to avoid GI upset (loses
absorption but increases compliance)
-stool softeners for constipation
-liquid form taken through straw to avoid staining teeth
-vitamin C help inc absorption
-avoid antacids
Iron dextran - Answer IM/IV administration: Iron-deficiency anemia
Only for patients with documented Fe deficiency who are
unable to tolerate or absorb oral preparations and for patients with extensive chronic
anemia who cannot be maintained with oral therapy alone
black box: anaphylaxis ; wait 1 hour after test dose before full dose
iron sucrose - Answer Anemia
Iron preparation - Parenteral
Should be reserved for patients with iron deficiency who are unable to tolerate or
absorb oral iron, and for patients with extensive chronic anemia who cannot be
maintained with oral iron alone.
, Used to correct hypochromic microcytic anemia due to iron deficiency.
-less risk of anaphylaxis
-s/e: hypotension
Vitamin B12 Anemia causes - Answer -decreased intestinal absorption r/t lack of
intrinsic factor
-total or partial gastrectomy
-vegetarians (less dietary intake --B12 comes from animal products)
-demyelination of spinal cord
vitamin b12 anemia manifestations - Answer -general anemia s/sx
-disturbances in gait, coordination, muscle weakness
-mood swings, memory changes, impaired judgement
-sore, smooth tongue (glossitis)
vitamin b12 deficiency anemia labs - Answer Hgb <12
RBC <4.2 million
MCV >80 (macrocytic)
gastric analysis - increased pH, no HCl
-Schilling Test - radioactive B12 administration
vitamin b12 deficiency anemia treatment - Answer -vitamin b12 supplements if able to
absorb
-cyanocobalamin injections
Cyanocobalamin (Vitamin B12) teaching - Answer s/e flushing, optic nerve atrophy, CHF,
peripheral vascular thrombosis pulmonary edema,
folic acid deficiency anemia causes - Answer -chronic malnourishment
-alcoholism
-inc metabolic requirements (common in children and pregnant women)
folic acid deficiency anemia manifestations - Answer -general anemia s/sx
-headache
-diarrhea
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