N232 Hemoc/Resp 2

ABG

100

pH 7.47

CO2 48

HCO3 30

metabolic alkalosis with partial comp

200

pH 7.25

CO2 55

HCO3 21

respiratory acidosis with no comp

300

pH 7.44

CO2 60

HCO3 34

metabolic alkalosis with full compensation

400

pH 7.37

CO2 35

HCO3 23

normal ABG

500

pH 7.37

CO2 65

HCO3 38

respiratory acidosis with full comp

Hemoc

100

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

200

The most likely thing that will cause death with polycythemia vera

thrombotic event (MI, stroke, PE)

300

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

400

Electrolyte impacted by multiple myeloma

calcium (hyper)

500

Reason why pt with aplastic anemia has increased bruising

platelet count decreases (also RBCs and WBCs decrease-pancytopenia)

Leukemia

100

most common type of leukemia in adults

AML

200

chromosome present with CML

Philadelphia chromosome

300

cell that proliferates in CLL

B lympthocytes

400

type of leukemia that causes excess immature B and T cells and is highly responsive to therapy

ALL

500

Shift to the left

overwhelming infection causes immature banded neutrophils to be produced (segs mature) 

Meds

100

first med given in asthma attack

short acting bronchodilator

200

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

300

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

400

Pt with pernicious anemia asks how long vitamin B12 injections will last

lifetime

500

systemic side effect of short acting bronchodilator

tachycardia

Blood Transfusions

100

IV size

20 gauge or smaller (large needle)

200

MUST be obtained before starting blood transfusion

consent

300

Maximum time blood must be transfused

4 hours

400

s/s of reaction

not limited to headache, pruritus, N/V, SOB, back/flank pain, fever, flushing, hives, hypotension, etc

500

actions if reaction

stop transfusion, change IV tubing, start NS infusion, check VS, call dr, send blood to blood bank