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ATI Med Surg Cardiovascular and Hematology

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ATI Med Surg: Cardiovascular & Hematology  pernicious anemia- needs monthly injections of vitamin B12  aplastic anemia- needs blood transfusion  hypovolemic shock- administer 0.9 sodium chloride - Two IV solutions are used for acute volume expansion : 0.9 sodium chloride and Lactated Ringer's solution. Sodium Chloride is a physiologic isotonic solution that replaces lost volume in the blood stream.  Thrombophlebitis- monitor activated partial thromboplastin time (aPTT)  INR levels- monitor if patient is taking warfarin  essential hypertension- primary or essential hypertension has no identifiable cause.  secondary hypertension- is related to an underlying pathology  Prothrombin time- nurse needs to evaluate after a fresh frozen plasma (FFP) transfusion  Hemoglobin normal values: o Females 12-16 g/dL Males 14-18 g/dL  hematocrit normal values o Females 37-47% Males 42-52%  serum albumin normal values- 3.5 to 5.0 g/dL

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ATI Med Surg: Cardiovascular & Hematology

 pernicious anemia- needs monthly injections of vitamin B12
 aplastic anemia- needs blood transfusion
 hypovolemic shock- administer 0.9 sodium chloride - Two IV solutions are used for acute
volume expansion : 0.9 sodium chloride and Lactated Ringer's solution. Sodium Chloride
is a physiologic isotonic solution that replaces lost volume in the blood stream.
 Thrombophlebitis- monitor activated partial thromboplastin time (aPTT)
 INR levels- monitor if patient is taking warfarin
 essential hypertension- primary or essential hypertension has no identifiable cause.
 secondary hypertension- is related to an underlying pathology
 Prothrombin time- nurse needs to evaluate after a fresh frozen plasma (FFP) transfusion
 Hemoglobin normal values:
o Females 12-16 g/dL
Males 14-18 g/dL
 hematocrit normal values
o Females 37-47%
Males 42-52%
 serum albumin normal values- 3.5 to 5.0 g/dL




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, ATI Med Surg: Dermatological

 Treatment of Malignant Melanoma of left upper leg- surgical excision
 Cryosurgery- treatment for Squamous/Basal Cell Carcinomas
 Secondary Intention wound healing- diet high in PROTEIN and VIT. C - Secondary takes
longer to heal
 Papules- small, solid, elevated lesion with distinct borders; smaller than 10 mm
ACNE, WARTS
 Macules- flat, variably shaped, discolored; smaller than 10 mm
Basically change in color of skin
FRECKLES, 5TH'S DISEASE RASH
 Wheals (HIVES)- transient, elevated lesions caused by localized edema
ALLERGIC REACTION
 Vesicles- circumscribed, elevated lesion containing SEROUS FLUID
Arise from HERPES, POISON IVY, CHICKENPOX
 Angiomas (BIRTHMARKS)- benign vascular tumors involvinsking and SubQ
Flat, violet, red-coloed patches (PORT-WINE)
RAISED, bright red, nodular lesions (STRAWBERRY)
 Most common MALIGNANT tumor- MELANOMAS
 Snakebite- IMMOBILIZE LIMB BELOW LEVEL OF HEART - prevents spread of venom
Remove any constrictive clothing or jewelry
 Frostbite- burned appearance due to RBC aggregation with microvascular occlusion;
As blood reaches freezing temps, RBCs aggregate/CLUMP- causes occulsion of small bvs
and leads to loss of superficial BF - discoloration resembles a superfical, partial-thickness
burn




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