GNRS 556 med surg exam 2024 with Questions and 100% Correct Answers
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Course
GNRS 556 med surg
Institution
GNRS 556 Med Surg
Answer -give to replace cells lost from trauma or surgery
indication for platelet transfusions - Answer -give for low platelet counts, active
bleeding, or if patient is scheduled for invasive surgery
indication for granulocyte (WBC) transfusions - Answer -given (rarely) to neutropenic
patients
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GNRS 556 med surg exam 2024 with Questions
and 100% Correct Answers
- Answer -give to replace cells lost from trauma or surgery
indication for platelet transfusions - Answer -give for low platelet counts, active
bleeding, or if patient is scheduled for invasive surgery
indication for granulocyte (WBC) transfusions - Answer -given (rarely) to neutropenic
patients
indication for whole blood transfusion - Answer -indicated for patients who need both
oxygen-carrying capacity and restoration of blood volume when there is not time to
obtain the specific blood components needed
-we give blood if HgB is less than 7.0
Febrile reaction to blood transfusion - Answer -caused by hypersensitivity to donor
white cells, platelets or plasma proteins
-s/s: sudden chills and fever, flushing, headache, anxiety
Hemolytic reaction to blood transfusion - Answer -caused by infusion of incompatible
blood products
-s/s: low back pain (first sign) caused by inflammatory response of kidneys
-chest pain
-headache
-apprehension
-tachycardia
TRALI reaction to blood transfusion - Answer -transfusion related acute lung injury
-caused when donor plasma antibodies react to the recipient's white cells antigens and
immune response is created
-inflammatory mediators attack the patient's endothelial cells in their lungs
-s/s:
-abrupt onset of non-cardiogenic pulmonary edema (develops within 1-2 hours and
symptoms are fully present within 6 hours
-ARDS with cyanosis, dyspnea and severe hypoxemia
-hypotension, fever
dx tests used to confirm cancer - Answer -Biopsy: only definite means for diagnosing
cancer
-Dx plan also includes: health history, identification of risk facts, examine tumor
markers, MRI, CT, PET scan, CBC, chemistry, endoscopic exam
cancer staging - Answer -stage 0: cancer in situ (abnormal cells have not spread beyond
where they first formed)
-stage 1: tumor limited to the tissue of origin
-stage 2: limited local spread
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