NURS 3119 Blood Meds Exam 3 Questions
With Correct Answers
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
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