Module 4
What does the nurse want to do with a patient who wants to go from warfarin to enoxaparin?
Bridge the doses
How is pernicious anemia treated?
B 12 Sub q
Labs for type 2 Heparin induced thrombocytopenia and what to do ?
Greater than 50% decrease in platelet level- stop the heparin
Why does inflammation occur?
first line of defense with injury or infection
What can Ibuprofen cause?
How much aspirin used for clotting purposes?
81 mg
What labs indicate Iron Deficiency Anemia?
Hemoglobin less than 8
What is DIC?
Blood is thin but still clots
Caused by gram negative bacteria
What is activated first with inflammation?
Neutrophils
How does Reye's Syndrome?
Child between 4-14
Has flu or chicken pox and is given aspirin
What herbal supplement does warfarin interact with?
St. Johns Wart- enhances the effects
Treatment for Iron Deficiency Anemia?
IV iron
Oral Iron every other day with OJ
Signs of DIC?
Petechiae
Purpura
Bleeding at IV sites
What are signs of inflammation?
Redness
Warmth
Pain
Loss of function
Swelling
What is the main concern with Reye's Syndrome?
Neurological Damage
What are the general symptoms of anemia?
Fatigue
Weakness
Pallor
Dyspnea
What is heparin induced Thrombocytopenia?
Low platelets
What are the priorities of Sickle Cell Crisis?
Hydration
Pain Medication
Oxygen
What makes inflammation chronic?
Lasting longer than 2 week
What are some interventions with Reye's Syndrome?
Elevate HOB
Quiet Environment
Neuro checks
What is someone with pernicious anemia lacking?
B 12
Labs for Type 1 Heparin induced Thrombocytopenia and what to do?
1-49% decrease in platelets level- reduce the dose
What is the most common NSAID?
Ibuprofen
How long can you give Ketorolac?
5 days