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Med Surg Ch 13 Blood disorders Unit 3
M/S Ch 13 Blood Disorders Unit 3
75
Nursing
Not Applicable
09/20/2010

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Term
Another name for Hemolytic anemia of the newborn
Definition
erthroblastosis
Term
This is the destruction of RBC's in the newborn due to antibody sensitivity
ex Rh - mom developing antibodies to Rh + fetus or prior blood transfusion, blood incompatibility
Definition
erthroblastosis or hemolytic anemia of the newborn
Term
why is erthroblastosis uncommon today?
Definition
rhogam administration
Term
excessive loss of RBC's or decreased production of RBC's and hemoglobin
Definition
anemia
Term
list SXS of anemia
Definition
weakness, anorexia, pallor, fatigue, faintness, dyspnea, dizziness, weak thready pulse, c/o being cold
Term
anemia due to sudden blood loss ex ruptured aorta, or vessels, gradual blood loss, ex heavy menses
Definition
blood loss anemia
Term
excessive destruction of RBC's ex blood transfusions, noncompatible blood transfusions, overactive spleen, some infections such as malaria
Definition
hemolytic anemia
Term
Hemoglobin & RBC's are abnormally shaped, rigid, elongated, get stuck mostly in the smaller vessels & decrease blood flow.
Definition
sickle cell anemia
Term
sickle cell anemia is an inherited disease of_____ ______and mediterranian people
Definition
African American
Term
sickle cell crisis occurs from _____of the vessels & causes pain & swelling in the ______
Definition
blockage, joints
Term
list some precipitating factors for sickle cell crisis
Definition
dehydration, infection, strenuous physical activity, hypoxia, anesthesia, exposure to cold, extreme fatigue, trauma, NPO status
Term
what are the tx for sickle cell crisis
Definition
IV fluids to dilute the blood, pain meds, antipyretics, emotional support
Term
with sickle cell anemia the cells are_____and tend to____easily, which causes tissue infarctions
Definition
fragile, break
Term
anemia in which we lack iron, which is needed in the formation of hemoglobin & RBC's. Children and women of childbearing age need more iron
Definition
iron deficiency anemia
Term
how do you tx iron deficiency anemia
Definition
tx with iron suppliments, increase iron in the diet
Term
what forms do iron suppliments come in
Definition
pills, liquids, injections
Term
what are some foods that can be added to your diet to increase iron
Definition
green leafy veggys, liver, whole grains, raisins
Term
if giving your client iron suppliments you should educate them...
Definition
that is will make their stool dark green or black
Term
this anemia is caused by the lack of intrinsic factor, which is made in the stomach
Definition
pernicious anemia
Term
why is intrinsic factor needed?
Definition
it allows the body to absorb B12 which is needed in the production & maturation of RBC's
Term
What are some SXS of pernicious anemia
Definition
sore throat, beef red tongue, tingling of the hands & feet, may have confusion & will have deterioration of the CNS
Term
what is the tx for pernicious anemia
Definition
IM injection of B12
Term
Why will B12 be given as an injection and not orally?
Definition
the body is lacking intrinsic factor so it cant absorb the B12 it has to be IM
Term
bone marrow supression, decreased RBC's, decreased WBC's and platelets
Definition
aplastic anemia
Term
what causes aplastic anemia?
Definition
chemo, possibly radiation, some drugs, gold compound
Term
how is aplastic anemia treated
Definition
remove the cause, or bone marrow transplant
Term
cancer of the blood forming organs, causes mass production of immature WBC's and RBC's. Platelets are decreased
Definition
leukemia
Term
causes of leukemia
Definition
unknown, possibly radiation, chemical exposure may be a factor
Term
list two forms of Leukemia
Definition
myelogenous & lymphocytic
Term
Leukemia that arises from the lymphoid tissue
Definition
lymphocytic Leukemia
Term
a tumor of the bone marrow is what type of Leukemia
Definition
myelogenous Leukemia
Term
how do you treat leukemia
Definition
tx chemo, radiation, prevent infection, safety measures to prevent bleeding, bone marrow transplant, reverse isolation,
Term
overwheling _____is often what kills the client with leukemia
Definition
infection
Term
sex linked, transmitted from mother to son, characterized by prolonged clotting time, painful bleeding into the joints, lack of clotting factor
Definition
hemophelia
Term
what are some tx for hemophelia
Definition
first aid stop the bleeding, frequent blood transfusions, recieve clotting factors
Term
what factor is absent is hemophelia
Definition
Factor VIII
Term
hereditary shortage of Von Willebrand factor which is a plasma component that helps platelets to adhere
Definition
Von Willebrands disease
Term
idiopathic deficiency of platelets causes hemhorrages in the skin & mucous membranes, causes purpura/petechia
Definition
thrombocytopenia purpura
Term
what is purpura or petechia
Definition
small hemorrhages
Term
platelets & other clotting factors are used faster than we can produce them leaving the person at serious risk for hemorrhage, excessive coagulation
Definition
disseminated intravascular coagulation (DIC)
Term
what are some things that can cause DIC
Definition
burns, trauma, acute, infections, childbirth disorders
Term
increased production of RBC's resulting in thicker blood with the tendency to thrombus or embolus
Definition
polycythemia vera
Term
what are some symptoms of polycythemia vera
Definition
reddish purplish face, headaches
Term
how can you treat polycythmia vera
Definition
plebotomy-blood letting
Term
what is a vital step before giving a blood transfusion
Definition
baseline vital
Term
how long will a nurse stay with the client
Definition
15 minutes then check the vitals hourly after that
Term
What are the first signs of a transfusion reaction
Definition
restlessness, urticaria, temperature, low back pain
Term
what do you do if their is a reaction to the blood transfusion
Definition
stop the blood, start normal saline
Term
what tests do you look at when doing a blood transfusion
Definition
hematocrit, hemoglobin, blood cell counts
Term
During the process of DIC, platelets and various clotting factors are used up faster than they can be produced, and serious______may result
Definition
hemorrhage
Term
________counts range between 5,000-10,000 cells per cubic millimeter of blood
Definition
WBC or Leukocyte count
Term
____anemia is caused by excessive destruction of RBC's
Definition
hemolytic
Term
In leukocytosis, the white cell count exceeds ______cells
Definition
10,000
Term
____anemia is characterized by a deficiency of vit B12, a substance essential for the proper formation of RBCs
Definition
pernicious
Term
The leading cause of death in Leukemia may be due to_____
Definition
infection
Term
A treatment often utilized for polycythemia vera is_______
Definition
phlebotomy
Term
a chronic condition found chiefly among the black race is
Definition
Sickle cell anemia
Term
A hematologic condition that predisposes the person to thrombus formation is________ ________
Definition
polychythemia vera
Term
name a site for a bone marrow biopsy
Definition
sternum
Term
Failure of the bone marrow to produced the formed elemenTS OF blood
Definition
Aplastic anemia
Term
The prevention of blood loss is
Definition
hemostasis
Term
Mrs M has type A negative blood, which type of donor is compatible
Definition
Type O -
Term
During the process of dissemination intravascular coagulation, platelets and various clotting factors are used up faster than they can be produced, and serious hemorrhaging may result T or F
Definition
True
Term
Sickle cell crisi is characterized by obstruction of vessels by the sickle shapped white blood cell T or F
Definition
false (RBC)
Term
Lymphocytic leukemia arises in bone marrow
Definition
False (mylogenic)
Term
SXS of purnicious anemia are
Definition
mental changes
Term
Treatment for a bleeding disorder includes
Definition
giving clotting factors
safety measures
first aid treatment with injuries
Term
People who live in low altitudes develop polycythemia T or F
Definition
false
Term
A decrease in hemoglobin to below normal levels signifies what disease____
Definition
anemia
Term
The length of time for the treatment of pernicious anemia is ______
Definition
lifetime monthly injections
Term
A platelet count of 50,000 is defined as
Definition
thrombocytopenia
Term
A white blood cell count of 2500 would be defined as
Definition
leukopenia
Term
An inherited disease that involves a lack of clotting factors is called
Definition
hemophelia
Term
_____anemia is characterized by a deficiency of Vitamin B12, a substance
Definition
pernicious
Term
Anemia caused by excessive destruction of RBCs is called _____anemia
Definition
hemolytic
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