Module One (Hematology+Immunology)

Anemias

100

This Anemia has blood cells that look like a Crescent 

Or as Brock stated, a Cashew

Sickle Cell Anemia 

200

What would you assess for a pt with Anemia? (Subjective, Objective, Labs, etc)

Dyspnea on exertion, fatigue,pt state they feel cold, pale skin, pale gums, may chew on ice, orthostatic hypotension, decrease BP, Decrease SPo2, 

Labs: CBC, B12, Folate, Iron

300

This type of anemia is known for its abnormally large RBCs, and it has a deficiency in Cobalamin (Vitamin B12) and Folic Acid

Megaloblastic Anemia

Monitor for abdominal pain

And Beefy Red Shiny Tongue

400

*Pancytopenia(Decrease in all blood cells- WBCs, RBCs, Platelets).      Most go into Neutropenic Precautions.               Labs: Bone Marrow Biopsy

Check for WBCs, Hemoglobin, Reticulozis, Serum Iron, TIBC (Total Iron Blood Count), Serum B12 

Interventions: Blood Transfusion to remove the causative agents, immunosuppressant therapy

Provide Supportive Care and Other Comfort measures

Aplastic Anemia

500

A patient with iron deficiency anemia is to be discharged home with iron replacement therapy. Which instruction would be most important to maximize iron absorption? 

Glass of Orange Juice

600

The nurse is caring for a patient who reports extreme weakness and glossitis, and the nurse identifies pale yellow skin. Which type of Anemia does the nurse anticipate?

Pernicious Anemia

Who am I?

100

S/S: (Stage 1-3) *Bulls eye lesion, flu like symptoms, pain and stiffness

Labs: Blood Culture (Increase in WBC)

Interventions: Wear long socks, inspect repellent (deet), covered skin… WHO AM I

Lyme Disease

200

Cause: Unknown

Immune systems identifies own cells as foreign

Assessment: *Butterfly Rash, fatigue, stiffness, Raynauds Phenom, Anemia, Pericarditis

*NSAIDS

Lupus

300

A: low grade fever, tenderness, sensitive to touch, motion limits, Joint inflammation in the great toe, “Podagra” (Kyle where you at)

L: *Uric Acid levels, synovial fluid aspirations, X-Ray

I: Inflamed joint, bed rest, strict low purine diet 

Gout

400

A: *Swan Neck, Fever, Fatigue, *Morning Stiffness, Sjogren’s Syndrome, Felty’s Syndrome

Diagnostic: *C Reactive Protein, *Synovial Fluid Aspiration, CBC, ESR, RF,

I: RICE to manage pain and mobility assistance

Rheumatoid Arthritis

500

A: WPI > 7. SSI>5 (pain point)

Labs: C-Reactive Protein

I: Rest, Mental Health Support, Limit sugar, alcohol, caffeine, and movement as tolerated

Fibromyalgia 

600

Rare autoimmune disorder where the body makes too much collagen protein resulting in *very thick tight skin*. The blood vessels become too thick and lead to hypertension.  

Who Am I?

Scleroderma 

Blood (you vampire)

100

What are the three cells that are produced in the bone marrow?

RBCs, WBCs, and Platelets

200

What is Hemophilla and what are some interventions you would have for your patient?

Hemophilia:Inherited bleeding disorder in which blood doesn’t clot normally, increasing the risk of excessive bleeding after any type of small injury like a papercut

Interventions: NO NSAIDS, Razors, or Contact Sports

Treatment: Avoid IV,IM, SQ and use Icepacks and elevate the affected area

300

I have low platelets 

S/S: *Petechia, bleeding gums, and tachycardia 

Teaching: Do not use razors or OTC NSAIDs

Who am I?

Thrombocytopenia 

400

I am known to cause an overload of iron in the blood 

S/S: Bronze skin color, Cirrhosis, abnormal heart rhythms, heart failure, join pain, narrowing of the joint pain 

Hemochromatosis

500

I have an overproduction of RBCs

S/S: Enlarged liver or spleen, *Petechia, *Peripheral tingling, burning, or itching, mucosal cyanosis

Treatment: Phlebotomy 

Polycythemia

600

A patient has recently been diagnosed with leukemia. Which of the following symptoms would a health care professional expect to see given this diagnosis? Multiple Choice

A) BradyCardia, Hypotension, and palpitations

B)Dyspnea, Malaise, and hypotension

C) Parathesia, Facial Rash, and Abdominal Pain

D) Bruising, Fatigue, and Bone Pain

D) Bruising, fatigue, and Bone Pain

This buildup of cells can lead to aches and pains of the bones and joints, due to excessive cells can result in bruising easily. 

Drugs

100

TWO PART QUESTION: 

1) You would give this medication for an acute attack for gout

2) You would give this medication for Chronic Attacks for Gout or Maintenance

1) Colchicine 

2) Allopurinol

200

A patient who has been prescribed the antiparkinsonian medication carbidopa/levodopa, asks the healthcare provider, “Why am I getting these two medications?” How should the healthcare provider respond?

The Carbidopa presents the breakdown of levidopa

300

You are giving a pt hydroxychloroquine. Your patient is experiencing swan neck deformity, fatigue, morning stiffness, anorexia, and weight loss. Upon your signs ad symptoms and the medication you are using, what does your patient have, and how does this medication help?

Your pt has Rheumatoid Arthritis.

Hydroxchloroquine help improve symptoms in people with RA by blocking the immune system's effects on the body

400

Which medication would you give to a patient who has Rheumatoid Arthritis OR if to help prevent the rejection of a kidney transplant?

azathioprine

500

What types of medications would you give to pt with RA?

*NSAIDS, *DMARDS, and JAK Inhibitors 

600

Which types of medications would you give to a pt with SLE?

Corticosteroids, NSAIDs, Antimalarial agents (hydroxychloroquine), and Immunosuppressant

Life is like a box of chocolates

100

What is CREST?

Not the toothpaste you silly goose

Calcinosis

Raynauds

Esophageal Dysfunction

Sclerodactyl

Telangiectasis

200

I am an autoimmune disorder where the body attacks itself and mainly drying out the skin, eyes, joints, and mouth

S/S: Dry Eyes, Dry Mouth, Dry Skin, Vaginal, and Nasal Septum and Joint Pain

Sjogren’s Syndrome

300

I am a Immunoglobin that is associated with allergic reactions such as a bee sting- which one am I?

IgE

400

A patient who is diagnosed with Parkinson disease (PD) states, “I can’t tie my shoelaces anymore.” The healthcare provider recognizes that this patient’s problem is due to a deficiency in which of these neurotransmitters?

A) Glutamate

B) Dopamine

C) Norepinephrine

D) Serotonin 

B) Dopamine

500

Name These Immunities and how we get them

Active- Natural

Active- Artificial

Passive- Natural

Passive- Artificial

600

The healthcare provider is assessing the skin of a patient who is at risk for becoming infected with the human immunodeficiency virus (HIV). Which of the following findings requires immediate follow-up by the healthcare provider?

A) Purplish-red lesions

B) Numerous moles on the chest and back

C) Ecchymosis on the legs

D) Patches of dry flaky skin

A) Purplish- Red Lesions