Exam (elaborations)
FNP (AANP) Study Guide 2024/2025 already graded A+
- Course
- Institution
FNP (AANP) Study Guide 2024/2025 already graded A+
[Show more]
Content preview
FNP (AANP) Study GuideMicrocytic Anemias - ANSIDA, Thalassemia, Lead Toxicity
Macrocytic Anemias - ANSB12 Deficiency and Folate deificiency
IDA - ANSMicrocytic, hypochromic
Patient Presentation with microcytic anemia - ANSWeakness, headache, irritability, fatigue, and
exercise intolerance. Worsening of angina or dementia
TIBC - ANSElevated with IDA
Average lifespan of RBCs - ANS100-120 days
RDW <15% - ANSLongstanding anemia in that all cells are small
RDW > 15% - ANSNew onset anemia; There is a mixture of normal and small RBCs
Iron Rich foods - ANSOrgan meats, red meats, dried peas and beans, whole grains, and dark,
green, leafy vegetables
Iron Replacement - ANS150-200 mg/d Elemental Iron x4-6 months
Beta Thalassemia - ANSAvoid excessive iron consumption and will need genetic counseling
Alpha Thalassemia - ANSAsians, Mediterranean origin, avoid inappropriate exposure to iron, no
therapy needed in minima and minor
Liver - ANSWhere excess iron is stored
Thalassemia Lab Results - ANSDecrease hct, hgb, MCV, and MCH
Normal RDW, serum iron, serum ferritin, and TIBC
IDA Lab Results - ANSDecrease in hgb, hct, MCV, MCH, serum iron, and serum ferritin
Elevated RDW & TIBC
RBC lifespan in chronic disease - ANS60-90 days
Macrocytosis Etiologies - ANSETOH abuse, substance abuse, celiac disease, IBS, pregnancy,
lactation, certain medications, and myelodysplastic syndromes
,Which macrocytic anemia is characterized by neuro changes? - ANSVit B12 (Folate does not
usually present with neuro changes)
Thrombocytopenia - ANSPlatelet count less than 150,000
Thrombocytopenia Etiology - ANSDrug induced, SLE, recent infection, idiopathic,
antiphospholipid syndrome, or leukemia
Agranular WBCs - ANSLymphocytes 20-25%
Monocytes 3-8%
Granular WBCs - ANSBasophils 0.5-1%
Neutrophils 60-70%
Eosinophils 2-4%
Eosinophils will increase with... - ANSAllergic reactions and parasitic infections
On a CBC think a viral infection when... - ANSPoly's and Lumphs are numerically close
On a CBC think bacterial infection when... - ANSPoly's and Lymphs are numerically distant
On a CBC, what will increase first with an infection? - ANSPoly's and Lymphs
Mono's on a CBC react within what amount of time in an infection? - ANS24 hours
What are bands? - ANSImmature WBCs and when present represents a bad infection
Common medications that can cause anemia - ANSMetformin and PPIs
Hgb to Hct ratio - ANS1:3
Only time you will see the Hgb : Hct ratio differ? - ANSSevere dehydration will decrease the Hct
because it is volume dependent
As MCV decreases, the RDW _____________? - ANSIncreases
As the MCV increases, the RDW ________________? - ANSIncreases
Normal response to anemia is________________ - ANSReticulocytosis
Most common etiology for normocytic normochromic anemia - ANSAcute blood loss or anemia
of chronic disease
At risk groups for alpha Thalassemia minor - ANSAAA
, Asian, African ancestry
At risk groups for beta Thalassemia minir - ANSBAMME
African, Mediterranean, Middle Eastern ancestry
Drug-Induced Macrocytosis without anemia - ANSMCV elevated and MCH/RDW normal. Can
be caused by Dilantin, AZT, Depakote, or Tegretol
Most common type of anemia in childhood - ANSIDA
Most common type of anemia during pregnancy - ANSIDA
Most common type of anemia in women during reproductive years - ANSIDA
Most common type of anemia in the elderly - ANSAnemia of chronic disease
Risk of pregnancy in having a child with Thalassemia when the mother and father both have
beta Thalassemia minor - ANS1 in 4 chance with every pregnancy
Sickle Cell Anemia risks if the mother and father both have one copy of the sickle cell gene with
each pregnancy - ANS1:4 does not have sickle cell
2:4 one copy of sickle cell
1:4 has sickle cell anemia
Most common enzymatic disorder of red blood cells in humans - ANSG6PD
Glucose-6-phosphate dehydrogenase
What do patients with G6PD need to avoid? - ANSSulfa drugs, aspirin, and fava beans because
consumption will precipitate lysis of RBCs
Primary cause of blindness in adults - ANSMacular degeneration
Second leading cause of blindness in adults - ANSCataracts
Pterygium - ANSCommon non-cancerous growth on cornea and conjunctiva; can grow and
cause blindness
Pinguecula - ANSYellow, white deposit on the conjunctiva; asymptomatic
Xanthasmas - ANSYellow plaque on the inner canthus; 50% of these patients have increased
lipids
Chalazion - ANSHard, non-tender nodule of the eyelid caused by inflammation of the
Meibomian gland; treatment is laser
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LegitPage. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now