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sepsis, promyelocytic leukemia Renal failure, Gangrene, PE, ALOC, ARDS, Stroke
DIC DIC
IRON DEFICIENCY ANEMIA IRON DEFICIENCY ANEMIA IRON DEFICIENCY ANEMIA FOLIC ACID DEFICIENCY ANEMIA
Most common form of anemia Anemia with a sore tongue (GLOSSITIS) Involves admin of z-track injection of iron
Megaloblastic anemia with pallor due to lack of folic acid
APLASTIC
HEMOLYTIC ANEMIAS
ITP
POLYCYTHEMIA VERA
PALLOR JAUNDICE AND PRURITIS
increased HR AND STROKE VOLUME, ANGINA AND MI
Increased Hgb levels with purple red complexion Integumentary changes to anemia Cardio changes to anemia
Nsg Dx to anemia
Patient teaching to anemia PTs Diagnosis iron deficiency anemia
A genetic disorder of inadequate production of normal HgB
THALASSEMIA
true
THALASSEMIA MINOR
THALASSEMIA MAJOR
MEGALOBLASTIC ANEMIA
COBALAMIN DEFICIENCY
COBALAMIN DEFICIENCY
POOR DIET, MALABSORPTION, DRUGS, DIALYSIS, ETOH
Causes of Folic acid deficiency Megaloblastic anemia with no neuro deficits Anemias of chronic disease
APLASTIC APLASTIC
HEMOLYTIC ANEMIA HEMOLYTIC ANEMIA
JAUNDICE, SPLENOMEGALY, HEPTOMEGALY, TUBULAR NECROSIS
Dx of sickle cell
Patient teaching for sickle cell
SMEARS, SICKLING TEST, ELECTROPHORESIS OF HGB, DNA, XRAY, MRI AVOID HIGH ALTITUDES, FLUID INTAKE, TREAT INFECTIONS AND PAIN O2 ADMIN, PAIN MGMT, FOLIC ACID, TRANSFUSIONS, HYROXYUREA, BMT
HEMOPHILIA
ID, CONSENT, PROCEDURE, VS, ORDER, TRIPLE CHECK
MATCH PT WITH BLOOD, EXPIRY DATE, 2nd RN verify, SIGN SLIP, ORDERS
What to check before transfusion When picking up blood When prepping for transfusing
To start transfusion..
check PT ID, FLUSH IV, HANG AND CHECK FILTER, TITRATE SLOW, VITALS
After transfusion.
Two major components of blood
Types of leukocytes
Types of granulocytes
Types of agranulocytes
Most common form of leukocyte with phagocytic function
NEUTROPHIL
PRESENCE OF SEGMENTED NUCLEUS (seg)
How do you know if neutrophil is mature How do you know if neutrophil is immature
3days
EOSINOPHILS
BASOPHILS
LYMPHOCYTES
MONOCYTES
SPLEEN SPLEEN
POSTERIOR ILIAC CREST
Blood hemolysis, AGGLUTINATION AND CLUMPING
Site of BM aspiration
What happens during transfusion rxn?
Universal recipient
ab thymus
ERYTHROPOEITIN
Origin of T-Cells
Whats deficient in Renal Dialysis PTs?
IRON DEFICIENCY ANEMIA PANCYTOPENIA in aplastic anemia Radioactive b12 is injected with oral b12 HEREDITARY SPHEROCYTOSIS
Decrease in myeloid stem cells What happens during a schilling test? Anemia with spherical RBCs BMT offers cure before liver damage occurs
Anemia with hypochromia and microcytosis, hemolysis
Treatment of B-thalassemia due to long term transfusion
Management of Inherited Hemolytic Anemias Common cause of sickle cell crisis pain
Dx of sickle cell
WHAT to do during iron overload?
What you call degraded HgB? (seen with G6PD anemia)
Anemia caused by genetic dysfunction and RBC membrane instability Decreased HGB/HCT, increased RET count, positive Coombs test, antibodies A proliferative disorder in which myeloid stem cells escape normal control mechanisms
CHELATION
Heinz BODIES
G6PD anemia
ACQUIRED HEMOLYTIC ANEMIA
POLYCYTHEMIA
ERYTHROMELALGIA
POLYCYTHEMIA VERA
lymphocytes
ID causing agent, CORTICOSTEROIDS, G-CSF, CBC, ANC
POLYS/BANDS
EPOGEN
When HCT is <25