ANEMIA
Characterized by more Hemoglobin S than Hemoglobin A.
SICKLE CELL ANEMIA
What is the treatment for multiple myeloma?
Chemotherapy, however it is not very effective because there is no cure.
Your patient has been diagnosed with sickle cell anemia but does not understand the disease. Explain it in your own words.
Abnormally shaped RBC's, genetic
1G = ______mg
1000mg
The provider orders 500mL of normal saline to infuse over 45 mins. What is the rate in mL/hr?
666.67 = 666.7mL/hr
Characterized by lack of Vitamin B12 absorption.
PERNICIOUS ANEMIA
Hemolytic anemia can be treated in two ways, depending on the severity. Name both ways.
Increased iron in diet
Blood transfusion
Name three ways to promote proper infection control.
Hand hygiene
Avoid crowds
Sleep and eat well
Prophylactic antibiotics
Etc, answers may vary
1oz = _______mL
30mL
Patient weighs 102lbs. Provider orders 2mg/kg of morphine. The pharmacy has 0.5mg/1mL available. How many mL should the nurse administer?
185.45 = 185.6mL
Characterized by a deficiency in clotting factors.
HEMOPHILIA
What are the recommended treatment for your patient with sickle cell FEVER?
Antibiotics
Provide patient education on the signs of transfusion reactions. Name at least THREE symptoms.
Chills, Impending Doom
Fever, Tachycardia, Tachypnea
SOB, Pain, Shock
Rash, Hypotension
15mL
Patient has a fever of 102.6F. Convert this temperature into Celsius.
39.2C
Characterized by lack of granulocytes.
Agranulocytosis
Your patient has Pernicious Anemia. What type of injections are necessary? How often are they given?
B12 INJECTIONS
Daily for the first few weeks, usually 5-10 days; then spaced out up to one month apart
Name three ways used to control bleeding.
Direct pressure
Tourniquet
1tsp = __________mL
5mL
The provider orders 1,000mL of normal saline to infuse over 4 hours. The tubing has a drip factor of 20gtt/mL. What is the infusion rate in gtt/min?
83.3 = 83gtt/min
Fanconi Syndrome
What is Disseminated Intravascular Coagulation and how is it treated?
Excessive clotting factor
Frozen plasma and packed RBCs
In Pernicious anemia, an increase in _______ is recommended.
What are foods that support this diet?
What does this specific supplement assist with?
Enhances B12 absorption
1cup = ____ oz
8oz
Provider orders 1000mg Vancomycin. Patient weighs 55kg. The recommended dosage is 3-6mg/kg/day. What is the minimum and maximum dose per day? Is the order safe?
165mg-330mg
Not safe