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MS 2 NS Midterm
Midterm
41
Nursing
Not Applicable
09/13/2011

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Cards

Term
EDG/colonoscopy is done in anemia to determine
Definition
bleeding
Term
labs for iron deficient anemia
Definition
iron, CBC, H&H
Term
s/sx iron deficient anemia
Definition
smooth, sore tongue
Term
Interventions with iron deficient anemia
Definition
no antacids with iron, avoid aggs, milk, coffee, tea with iron
Term
Inadequate B12 absorption is due to
Definition
lack of intrinsic factor in the stomach
Term
Pernicious anemia s/sx
Definition
peripheral neuropathy, glossitis
Term
s/sx folic acid deficiency
Definition
pallor, fatigue, SOB
Term
s/sx aplastic anemia
Definition
petechaie, ecchymosis, infections
Term
triggers for sickle cell anemia
Definition
stress, strenuous activity, infection, dehydration, general anesthesia
Term
s/sx sickle cell
Definition
pain, jaundice, cardiomegaly, pulmonary HTN, infection prone to pneumonia and osteomylitis
Term
hereditary thalassemia
Definition
hypochromia, microcytosis, hemolysis
Term
Alpha- middle east, southeast asia decent thalassemia
Definition
milder form of disease, may be asymptomatic
Term
meds that can trigger G-6 PDD
Definition
sulfa, antimalarial, thiazides, hypoglycemic agents
Term
s/sx G-6 PDD
Definition
hemoglobunuria
Term
s/sx hereditary hemochromotsis
Definition
arthralgias, bronze color skin, cirrhosis, hepatocellular carcinoma, cardiomyopathy, hypothyroidism, DM
Term
s/sx polycythemia vera
Definition
high hct, splenomegaly, claudication, ruddy complexion, high K d/t increase of intracellular K with fragile RBCs
Term
what is the reason for secondary polycythemia?
Definition
response to reduced amounts of O2
Term
diagnosis of primary thrombocythemia
Definition
dx with elevated platelet count results. VERY HARD TO DX.
Term
s/sx thromboctyopenia
Definition
gingival bleeding, PLT < 20,000
Term
trigger for ITP
Definition
quinine, sulfa meds
Term
s/sx GERD
Definition
hypersalivation, esophagitis
Term
s/sx Barrett's
Definition
GERD, PUD, esophageal stricture
Term
s/sx sliding hernia
Definition
heratburn, regurgitation, dysphagia, reflux
Term
s/sx paraesophageal hernia
Definition
sense of fullness, chest pain after eating, asymptomatic, NO REFLUX
Term
s/sx both types of hernias
Definition
hemorrhage, obstruction, strangulation
Term
s/sx esophageal varices
Definition
hematimesis, melena, shock, hx of alcohol abuse
Term
acute gastritis
Definition
rapid onset d/t dietary discretion, other causes include meds, alcohol, bile and reflux, indigestion of strong acid or alkali may cause serious complications
Term
chronic gastritis
Definition
prolonged inflammation d/t benign or malignant ulcers or H.pylori. may also be associated with some autoimmune diseases.
Term
s/sx acute gastritis
Definition
lassitude, hiccuping
Term
s/sx chronic gastritis
Definition
epigastric discomfort, may have vitamin deficiency d/t malabsorption of B12
Term
s/sx gastroenteritis
Definition
dehydration, dizziness
Term
s/sx PUD
Definition
dull gnawing pain, burning epigastric, bleeding (melena stools)
Term
s/sx malnutrition
Definition
bad posture, red tongue, cheilosis, anemia
Term
s/sx diarrhea
Definition
borborygmus, painful spasmodic contractions of the anus
Term
s/sx IBS
Definition
rectal passage of mucous
Term
reducible hernia
Definition
slips back into abdominal cavity with gentle pressure or when patient lies on back
Term
irreducible hernia
Definition
trapped and cannot be reduced
Term
strangulated hernia
Definition
hernia is incarcerated and the blood supply is cut off, bowel can become gangrenous
Term
s/sx cholecistitis
Definition
high V/S, jaundice, epigastric pain, RUQ tenderness, positive murphy's sign
Term
murphy's sign
Definition
unable to deep breathe when examiner's finger below the liver margin
Term
s/sx cholelithiasis
Definition
epigastric distress, vague RUQ pain, distres may occur after eating a fatty meal, elderly may present septic or shock.
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