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NURS 6202 Exam 2 with complete solutions
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Microcytic anemia -Low MCV -Small RBCs -Often associated with iron-deficiency or Thalessaemia Normocytic anemia -MCV 80-100 (WNL) -acute blood loss -anemia of chronic dx - Aplastic Anemia Previous Pause Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15...

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  • September 5, 2024
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  • 2024/2025
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NURS 6202 Exam 2 with complete
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Microcytic anemia - ANSWER- -Low MCV
-Small RBCs
-Often associated with iron-deficiency or Thalessaemia

Normocytic anemia - ANSWER- -MCV 80-100 (WNL)
-acute blood loss
-anemia of chronic dx
- Aplastic Anemia

macrocytic anemia - ANSWER- • High MCV
• Large, fragile RBCs
• Often associated with folate and/or B-12 deficiency; pernicious anemia

Anemia - ANSWER- A deficiency in the number of erythrocytes (RBC), quantity of
Hgb, and/or the volume of packed RBC (HCT)

normal hemoglobin levels - ANSWER- Male: 14-17.3 g/dL
Female: 11.7-15.5 g/dL

Normal hematocrit levels - ANSWER- Male: 45%-52%
Female: 36-48%

Iron Deficiency Anemia - ANSWER- - Most common form of anemia
- Low iron levels
- Causes: poor intake, absorption problem, blood loss
- tx: diet, supplementation

iron deficiency anemia Sx - ANSWER- "LOW IRON"
Lethargic
Overexert easily

, White face (pale)
Inflammation of tongue
Reduced Hgb Lvls
Observe changes in RBC
Nail changes (spoon shaped)

Iron supplementation education - ANSWER- - take on an empty stomach 1 hr
before meals
- take with vitamin C (OJ)
- Stool will be dark black
- Side effect: constipation
- If liquid: mix with a drink and drink with a straw

Thalassemia - ANSWER- -Inherited defect in the ability to produce hemoglobin,
usually seen in persons of Mediterranean background.
- Fragile, hypochromic, microcytic RBCs

Thalassemia symptoms - ANSWER- - fatigue, weakness, pale or yellowish skin
- facial bone deformities, slow growth
- abd swelling, dark urine

Thalassemia treatment - ANSWER- Blood transfusions
Iron Chelation therapy—for iron overload
Splenectomy may be required
Moderate cases survive into their 30s

Sickle Cell Anemia - ANSWER- -a genetic disorder that causes abnormal
hemoglobin, resulting in some red blood cells assuming an abnormal sickle
shape
- RBC have decreased life span (~20 days)

Factors that can lead to sickle cell crisis - ANSWER- "SICKLE"
Significant blood loss
Illness
Climbing or flying to high altitudes
Keeping continued stress
Low fluid intake (dehydration)
Elevated temperature (fever, exercise)

Sickle cell nursing interventions - ANSWER- Promote rest, administer fluids,
administer analgesics and meds, monitor I/Os, administer oxygen

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