Anemias
When taking iron supplements, what supplement helps that iron absorb better?
What is Vitamin C?
Citrus fruits, tomato juice....
What is Thrombocytopenia? and how is it treated?
What is a platelet count less than 150,000?.. FFP?
What hospital precautions would a patient with Leukemia be on?
What is protective precautions?
What is the antidote for Heparin?
What is Protamine Sulfate?
Splenectomies come with an increased risk of pneumonia due to pain upon post op breathing techniques (incentive spirometers). What can the nurse do to help prevent this complication?
What is medicate with opioids for the first 24- 48 hours to ensure breathing exercises are done and the patient ambulates/ gets OOB?
An improvement in iron deficiency anemia can be noted with an increase in what labs?
What is hemoglobin and hematocrit?
Chemotherapy can cause bone suppression, how is this reflected in lab work?
What is a low platelet count, low red blood cells, low white blood cells?
Patients receiving chemotherapy often can develop a metallic taste in their mouths. What is a nursing intervention to help with this?
What is chew sugar-free gum to help alleviate the metallic taste?
What is the antidote for Warfarin/Coumadin?
What is Vitamin K?
When a patient has their spleen removed they are at an increased risk of developing what illnesses?
What is meningitis, pneumonia, and Hib?
What does the bone marrow with Aplastic Anemia look like?
What is pale, fatty, and fibrous?
AKA- "dry tap"
A patient with thrombocytopenia has special precautions to help prevent bleeding. What are they?
What is stool softener, lubricate lips with water soluble ointment, blow nose gently, soft bristle toothbrush. no flossing, avoid IM injections, cluster blood draws, apply pressure to puncture sites longer......
During Sickle Cell Crisis and to prevent a reoccurrence clients are encouraged to increase their intake of what?
What is fluid? Increase hydration.
Before an opioid is administered what vital sign is of the highest importance to be obtained?
What is respiratory rate?
How is hypercalcemia prevented?
What is increase fluids?
2-3 liters a day.
What are manifestations of anemia?
What is pallor, fatigue, weakness, spoon shaped nails, tachycardia, shortness of breath, hair loss, brittle nails, blurred vision...ect..
Methotrexate can be used to treat both autoimmune disorders and cancers. What are important client education teachings that the nurse should include?
What is drink lots of fluid, do not drink alcohol, Avoid people with infections (wear masks), fully cook foods, bottled water, report any signs of abnormal bleeding?
During sickling peripheral perfusion can become compromised. What are nursing interventions used to prevent this?
What is have the client avoid restrictive clothing, prevent knee gatching the client, promote hydration, have room temperature warm, treat any infections, provide oxygen, warm compresses to joints to prevent vasoconstriction?
If a patient with Hemophilia states they are bleeding but no bleeding is visible what should the nurse do?
What is the nurse should immediately get them an exam room and notify the HCP?
When a LPN is assisting with a bone marrow biopsy- what is the nurse's role?
What is monitor the client for bleeding and/ or infection, provide therapeutic communication?
What patient population is at an increased risk of developing folic acid deficiency anemia?
What is pregnant women and people who drink alcohol daily?
Increase folic acid in diet.... green leafy vegetables, fortified grains...
What is DIC?
DIC is an abnormal coagulation phenomenon involving fibrinogen in response to infection, trauma, cancer....
When a client has thrombocytopenia they are at an increased risk of bleeding. What are signs that a client may be bleeding?
What is dark, tarry stools, coffee ground emesis, epistaxis, hematuria, bruising (ecchymosis)...
Why would a client with colitis suffer from anemia?
What is chronic blood loss in stool over time?
Multiple myeloma causes an increase in what serum lab result and why?
What is calcium and from multiple pathological fractures?