Blood Loss Anemia
How long does it take RBC and Hgb levels to return to normal after a blood loss?
3-4 Weeks
What are the major causes of nutritional anemias?
inadequate dietary intake or malabsorption
Iron, vitamin B12, Folic acid, Pica
Are pumpkins fruits or vegetables
Fruit
The describes hemolytic anemia to her patients as?
The premature lysis or destruction of RBCs characterized by defects in cell membrane, hgb structure defects, breakdown by wbc, production of immature cells by bone marrow.
Drugs, chemicals, toxins, venom, bacterial infections, trauma burns, mechanical damage (prosthetic heart valves).
Which lab determines cell count, hemoglobin, hematocrit, and RBC indices? Can identify the severity of anemia, shape, volume, and iron content of the RBC to help determine the cause of anemia.
CBC
In Acute Blood loss, how do the circulating RBCs characteristically appear?
small (microcytic) and pale (hypochromic)
You are educating your patient on taking Iron supplements, what would you teach about best practice when taking iron?
Take with OJ
Not with milk
Take 2 hours before Tetracycline
Stains teeth,
Use Ztrack methods when administer IM
SX: iron toxicity: vomiting, diarrhea, abd discomfort d/t irritation, fatigue, joint pain, dysrhythmia, skin:bronze/gray green, depression
Each year how many pounds of candy corn are produced?
35 Million
A 69-year-old African American male is admitted with elevated temperatures, pain in chest and joints, and complaints of fatigue and blurred vision. Labs identify a hbg 8.2 and RBC appear crescent-shaped or sickle-shaped. What would the nurse make as a priority to monitor?
Oxygenation, sustain SaO2, RR
Test performed to detect iron-deficiencies, low serum iron concentration.
Iron Level and total iron-binding capacity
What are the risk factors for blood loss anemia?
Surgical blood loss
Hemorrhage or trauma
GI bleed
Menorrhagia
A patient comes into the ED with complaints of sore, beefy red tongue, diarrhea, and numbness in is lower extremities. He is two months postop after having a gastric bypass. His skin is pale and slightly jaundice. What type of anemia does the nurse identify?
Vitamin B12 or pernicious anemia
Most popular Halloween candy in 2019?
Skittles
What are the major complications of Thalassemia include:
severe anemia
Heart failure
liver and speen enlargement from increase red cell destruction
Identified depletion of the total iron reserves available for hemoglobin synthesis. This lab identified the iron-storage protein produced by the liver, spleen, and bone marrow. This protein carries sored iron when metabolic needs are higher than dietary intake.
Ferritin level
What are the manifestations for blood loss anemia?
Pallor of the skin, mucous membranes, conjunctiva, and nail beds as blood redistributes to vital organs
As tissue oxygenation decreases, heart rate and respiration increase in an attempt to increase CO and tissue perfusion
Tissue hypoxia: angina, fatigue, dyspnea on exertion, and night cramps
Hypotension, decreased LOC, and oliguria if significant blood loss,
A patient is admitted to your floor, he has a history of alcoholism for the last 10 years. He's respirations are slightly labored; complaints to palpitations, fatigue, and irritated and infected tongue, and cracked are in the side of his mouth that bleeds occasionally. His hbg is 7.8. What type of anemia?
Folic Acid Anemia
In what year will a full moon appear on Halloween?
2020
The patient recently had a transfusion reaction causing acquired hemolytic anemia, causing increased destruction of RBCs and overtaxing the liver causing an increasing inability to excrete bilirubin. What symptom would you expect to see?
Jaundice
This test measures Vitamin B12 absorption before and after intrinsic factor administration to differentiate between pernicious anemia and intestinal malabsorption of the vitamin.
Schilling Test
A 92 year old female comes into the ED with complaints of bright red, bloody stools for 24 hours. What would the nurse do first?
Assess vitals
Conserve energy, allow others to assist with activities, alternate rest/activity, safety.
According the Guinness Book of World Records, what state has the longest haunted house?
New Mexico
The nurse identifies the reason patients with sickle cell have increase pain is due to:
lack of blood low to tissues causing ischemia obstructing blood flow from vasospasms and vasocclusion. The small vessels in extremities cause painful swelling in hands and feet, large joints. lasts 4-6 days
This type of testing examines for any mutations in certain genes that can contribute to hemolytic anemias. It is encouraged for children of patients with confirmed diagnosis.
Genetic testing.