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NURS 3119 Blood Meds Exam 3 With Complete Solution

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NURS 3119 Blood Meds Exam 3 With Complete Solution...

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  • October 31, 2024
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NURS 3119 Blood Meds Exam 3
With Complete Solution

What are the Main Components of a CBC? What should the Range be for
Each of the Components? - ANSWER >RBC - 4-6 depending on gender

>Hgb + Hct

--Hgb - 12-18

--Hct - 37-52 depending on gender

>WBC - 5-10k

>Platelet - 150-400k

What does Hemoglobin do? - ANSWER Actual component on the RBC that
carries O2

What does Hematocrit do? - ANSWER The percentage of blood volume
composed of RBC's

What is High-Level Erythrocytosis? Treatment? - ANSWER Increases risk of
blood clot development

>Treatment - phlebotomy, addressing any underlying causes

What is Low-Level Anemia? Treatment? - ANSWER Reduced oxygen carrying
capacity, fatigue

>Treatment - blood transfusion, hematopoietic growth factors, iron
supplementation

,What is Hematopoiesis? - ANSWER Production of blood cells and platelets,
which occurs in the bone marrow

What is Example of Erythropoietic Growth Factor? - ANSWER Epoetin alfa

What is the Mechanism of Action of Erythropoietic Growth Factor? - ANSWER
Acts on bone marrow to increase production of RBC's

What are the Uses of Erythropoietic Growth Factor? - ANSWER >Normally for
patients who have chronic anemia secondary to renal failure

>HIV patients undergoing treatment

>Chemotherapy patients, to prepare for some elective surgeries where blood
loss is expected

What are Complications of Erythropoietic Growth Factor? Contraindicated? -
ANSWER Hypertension related to increased hematocrit, DVT, headaches and
body aches

>Contraindicated in patients with uncontrolled hypertension

What are Nursing Intervention Erythropoietic Growth Factor? - ANSWER
>Obtain baseline BP and monitor frequently-patient may need
antihypertensive therapy

>Administer subcutaneous or IV bolus, dosage is weight based-normally
1-3x's per week

>Monitor iron levels, RBC growth dependent on normal iron levels,
medication will not be effective if iron is low

>Monitor Hct and Hgb twice a week until target range is reached

How to Evaluate Effectiveness of Erythropoietic Growth Factor? - ANSWER

, Effectiveness is evaluated by Hgb 10-11, and max Hct of 33%

What does Iron do in the Body? - ANSWER Important for development of
RBC, but also builds bones, nerve cell function, and hormone balance

What are Examples of Oral Iron Supplementation? - ANSWER >Ferrous
sulfate

>Ferrous gluconate

>Ferrous fumarate

What are Examples of Parenteral Iron Supplementation? Route of
Administration? - ANSWER Iron dextran

>IM or IV - IV is safest because infusion can be stopped

>IM - use Z track to avoid skin staining




What are Nurse Administration Tips for Oral Iron Supplementation? -
ANSWER >Give with vitamin C to increase absorption

>Better absorption if given on empty stomach if patient can tolerate

>Liquid forms should be taken with a straw to avoid tooth staining




What are Side Effects of Oral Iron Supplementation? - ANSWER Causes
constipation, may turn stools dark/green




What are the Risks of Parenteral Iron Supplementation? - ANSWER

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