Hypovolemia and anemic shock
Early sign of hypovolemic shock
Restlessness, tachycardia
Cause of pernicious anemia
Lack of intrinsic factor
Leukemia is an overproduction of what cells?
Immature WBCs
Less than 20,000
First common symptom
Painless enlarged lymph node
Skin appearance in shock
Cool, pale, clammy
Classic oral symptom
Glossitis
Common first complaint
Bone pain, fatigue
What is a safe shaving method?
Electric razor
What cell confirms diagnosis?
Reed-Sternberg cell
Primary treatment goal
Stop bleeding and replace fluids
Why oral B12 doesn't work
Cannot be absorbed without intrinsic factor
Biggest nursing priority
Infection prevention
What temp method should be avoided.
Rectal temps
What imaging might show a mediastinal mass?
CXR
Priority IV fluid for shock
Isotonic, for hypovolemia NS
Neurologic complication
peripheral neuropathy
What other lab values would you expect?
Low RBCs and platelets
Why is aspirin contraindicated?
It prevents platelet aggregation
What is a typical associated symptom?
Night sweats
Pulse characteristic in shock
Rapid and thready, weak
Lifelong treatment
Why do patients bruise so easily with leukemia?
Thrombocytopenia
What is the most dangerous symptom?
Active bleeding
What is prognosis?
Good, very high cure rate