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HEME PARTS 1-3 EXAM QUESTIONS AND VERIFIED ANSWERS
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HEME PARTS 1-3 EXAM QUESTIONS AND VERIFIEDANSWERS
In _____ and ___ _____ all bones contain red bone marrow. Capable of
hemopoiesis and RBC production. - ANSWER infants and children
In _____ bone growth ceases so we lose all the areas for blood cell
production. Only rubs, sternum, vertebrae and pelvis continue to contain
red bone marrow = produce blood cells - ANSWER adolescents
Why do neonates have different blood component levels? - ANSWER
because they have different levels of erythropoietin and have more
blood transfusing from the placenta at birth and low extracellular fluid
volume from low intake of fluids at birth
She must bring her 3-year-old into the office for a check-up. The child
appears pale, and somewhat lethargic and very irritable. The mother
states that her child always seems tired and can't seem to concentrate
on anything and has developed a strange craving for ice. What do you
suspect is going on with this patient? - ANSWER iron deficiency
anaemia. (pica is the strange craving for non-food items)
what lab work would you expect to see done upon diagnosis of iron
deficiency anemia. Select all that apply.
-cbc
-h&h
-serum iron
-blood analysis
-stool culture to look for gi bleed - ANSWER all of the above
what would a blood analysis look like in someone with iron deficiency
anemia? - ANSWER blood cells are bleached out and look like a target
What two types of treatments are recommended for iron deficiency
anemia? - ANSWER 1. adjust the childs diet
2. oral iron supplements
, Hct < 34%, Hgb < 11.3g/dl (American Academy of Pediatrics
recommendation)
Your patients mother has some questions about iron defieicny anemia.
You would tell her that it is caused by: - ANSWER inadequate dietary
intake of iron (fad diets)
What are some causes of chronic blood loss in iron deficiency anemia
patients? - ANSWER cows milk! protein allergy, crohns, celiac, rapid
growth
What will your teaching for this patient be in the following areas?
¡Diet
¡The oral supplement
¡Medication safety
¡Medication side effects - ANSWER diet: include iron rich foods in diet
every day.
oral supp: give with orange juice, on empty stomach.
safety: keep out of reach of child at all times
side effects: dark green or black stools
examples of iron deficiency anemia food recommendations - ANSWER -
green leafy veggies
-red meats
-broccoli
inheritted condition that affects RBC's. They have either a partial or
complete replacement of the normal hemoglobin with abnormal
hemoglobin S. Hemoglobin changes shape into a sickle, these sickle
cells clump together and occlude small blood vessels. causing pain and
over time these areas lose function. - ANSWER sickle cell anemia
what is the first organ affected by sickling - ANSWER spleen
All newborns are screened for sickle cell disease. If the test is
POSITIVE, they should have what done to confirm diagnosis? -
ANSWER hemoglobin electrophoresis
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