What's the Dx
Associated with Vit B12 or folic acid deficiency cause the same bone marrow and peripheral blood changes because both are needed for normal DNA synthesis?
Metaplastic Anemia
What is the normal range for WBC?
5000-10000
What sources of food that is rich in iron would you edu your pt who has iron deficiency anemia?
Meats
legumes (beans)
Vit C
What can cause anemia to occur?
Erythrocytes lost due to bleeding
Erythrocytes are destroyed in the body known as hemolysis
There is a defect in the production from the bone marrow
How is aplastic anemia diagnosed?
Taking bone marrow
This is when a pt's neutrophil count is less than 2000 cells/mm3
Neutropenia
Also mean anemia, lower than normal RBCs?
What is the normal range for RBCs?
Erythrocytopenia
4.2-6.1
The lack of __________ impairs Vitamin B12 absorption?
Intrinsic Factor
A pt usually presents with what complication in aplastic anemia before a diagnosis has been made?
Infection, fatigue and pallor
What are the treatments for aplastic anemia?
Immunosuppressive Therapy
Corticosteroids
Most are treated with Hematopoietic stem cell transplant (HSCT) if match is found
If the RBCs, MCV and HGB are low what is the dx?
Iron deficiency anemia
What may be common in pts with neutropenia?
Absence of signs of infection or fever
What sources of food that is rich in iron would you edu your pt who has Folic Acid deficiency?
Liver or organ meats
Green leafy Veggies
What decreases with anemia?
RBCs
oxygen saturation
hematocrit
hemoglobin
What is the treatment for Iron deficiency anemia?
Iron supplements
Easy bleeding or bruising is expected in a pt with this condition
thrombocytopenia
What symptoms occur in B12 deficiency that would not occur in Folic acid deficiency?
Neuro symptoms- Numbness and tingling, inability to determine excessive heat or cold, loss of balance or coordination
What are some nursing interventions that should be included in the POC for a pt with leukocytopenia?
Reduce risk of infection with hand hygiene
Avoid large crowds
Report signs of infection
Complication that can occur in pts with secondary polycythemia and why?
Increase in blood pressure because an increase in RBCs increases blood viscosity and volume
This measures the size of erythrocytes (RBCs)?
MCV
Neutropenia, thrombocytopenia and anemia is common in this type of condition
aplastic anemia
What is a normal platelet count?
150000-450000
What are some nursing interventions that should be included in the POC for a pt with anemia?
Help pt manage fatigue
Educate pt on how to maintain adequate nutrition
Promote effective management of prescribed therapy
What symptoms will a pt with iron deficiency anemia have?
Smooth red tongue
Restless legs
Eating dirt or ice
brittle and rigid nails
angular cheilosis (inflammation or sores in corners of mouth)
What is the treatment for secondary polycythemia?
Treat primary Condition- COPD, OSA
Therapeutic Phlebotomy (apheresis)- to help with blood viscosity