ABG
pH 7.47
CO2 48
HCO3 30
List 5 neutropenic precautions
-Iggy p.827, Chart 40-10
-avoid crowds
-do not drink water that has been standing longer than 15 minutes
-take temp at least 2 times daily
-bathe daily
-eat low bacteria diet and avoid salads, raw fruits and vegetables, and undercooked meat
most common type of leukemia in adults
AML
first med given in asthma attack
IV size
20 gauge or smaller (large needle)
pH 7.25
CO2 55
HCO3 21
respiratory acidosis with no comp
thrombotic event (MI, stroke, PE)
chromosome present with CML
Philadelphia chromosome
Education for steroids (oral and inhaler)
-SE: hyperglycemia, weight gain, osteoporosis, impaired immunity (infection)
-wash mouth after inhaler use to prevent thrush
-no live vaccines
MUST be obtained before starting blood transfusion
consent
pH 7.44
CO2 60
HCO3 34
metabolic alkalosis with full compensation
Describe a meal for pt with iron deficiency anemia
red meat, organ meats, egg yolks, kidney beans, leafy greens, raisins, tofu, apricots, oysters, tuna, sardines, potatoes, nuts, fish, iron-fortified cereals
B lympthocytes
Education for iron supplements
-SE: constipation, nausea, dark stools
-best to take on empty stomach or with small amount of food
-take with vitamin C to increase absorption
-don't take with dairy, calcium products, or antacids
Maximum time blood must be transfused
4 hours
pH 7.37
CO2 35
HCO3 23
normal ABG
Electrolyte impacted by multiple myeloma
calcium (hyper)
type of leukemia that causes excess immature B and T cells and is highly responsive to therapy
ALL
Pt with pernicious anemia asks how long vitamin B12 injections will last
lifetime
s/s of reaction
not limited to headache, pruritus, N/V, SOB, back/flank pain, fever, flushing, hives, hypotension, etc
pH 7.37
CO2 65
HCO3 38
respiratory acidosis with full comp
platelet count decreases (also RBCs and WBCs decrease-pancytopenia)
Shift to the left
overwhelming infection causes immature banded neutrophils to be produced (segs mature)
systemic side effect of short acting bronchodilator
tachycardia
actions if reaction
stop transfusion, change IV tubing, start NS infusion, check VS, call dr, send blood to blood bank