Disaster Triage, Prioritizing, and Delegation
4 Topics | 2 Quizzes
Neurological System
10 Topics | 1 Quiz
MS, MG, and Guillain Barré
4 Topics | 1 Quiz
The Cardiovascular System
12 Topics | 1 Quiz
Pulmonary System
10 Topics | 1 Quiz
Cushing Versus Addison Disease
3 Topics | 1 Quiz
Thyroid Disorders
2 Topics | 1 Quiz
Parathyroid Disorders
3 Topics | 1 Quiz
DI and SIADH
3 Topics | 1 Quiz
Diabetes
10 Topics | 1 Quiz
Burns
5 Topics | 1 Quiz
Anemias, Aplastic Anemia, Polycythemia Vera, Thrombocytopenia and DIC
9 Topics | 1 Quiz
Cancer, Chemotherapy, Radiation Therapy, and Oncological Emergencies
6 Topics | 1 Quiz
Leukemias, Hodgkin’s Disease, and Multiple Myeloma
4 Topics | 1 Quiz
The GI system
16 Topics | 1 Quiz
Renal and Genitourinary Problems
6 Topics | 1 Quiz
Infection and Isolation Precautions
3 Topics | 1 Quiz
NCLEX Pharmacology
3 Topics | 1 Quiz
TPN, IV Solutions, & Blood Products
6 Topics | 1 Quiz
Lab Values
9 Topics
Questions
Case Study 1
History
Nurse's Notes
Dr's Orders
Laboratory Values
History
- Patricia, a 55-year-old female is admitted to the emergeny room with a severe bleeding injury to her right leg and thrombocytopenia.
Nurse's Notes
- Temp 98.2° F, HR 110, BP 96/56, RR 16
- Client alert and oriented on 2L NC; denies shortness of breath
- Pressure dressing to right leg dry/intact
- Family at the bedside
Dr's Orders
- 1 Unit of PRBCs
- 2 Units of Platelets
- Check CBC w/platelets 3 hours after transfusion
Laboratory Values
- Before transfusion
- Hgb = 6.9 g/dL
- Hct = 20 %
- Platelets= 29,000
- Post transfusion
- Hgb = 8.4 g/dL
- Hct = 26 %
- Platelets = 99, 000
- Vital signs: Temp 97.6 °F, HR 99, BP 110/54, & RR 18
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- Megaloplastic anemia
- Vitamin B12
- Scleral Jaundice because RBCs are broken down and bilirubin is released
- Thalassemia major, Sickle cell anemia, and the hemophilias
- Sickle Cell Anemia
- Polycythemia Vera
- Epoetin Alfa
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Vegetarians are at risk for developing this anemia
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Megaloplastic Anemia is a deficiency of this
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Clients with hemolytic anemia have weakness, fatigue, pallor of skin and mucous membranes and also this symptom
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Anemias that require genetic Counseling
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These clients are at risk for acute pain from tissue hypoxia, pulmonary hypertension, acute chest syndrome, and infection
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Clients with this condition must avoid iron supplements, drink plenty of fluids, get phlebotomy treatments, and wear antiembolic stockings to prevent DVT
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Anemic clients who refuse blood transfusions or who have chronic renal failure can get this medication to stimulate bone marrow to make RBCs
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