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NSG 533 - Exam 4 with complete solutions 2024.
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NSG 533 - Exam 4 with complete solutions 2024.
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NSG 533 - Exam 4 with completej j j j j j
solutions 2024
j j
Anemia jcan jcontribute jto: j- jANSWER✓✓-coronary jischemia
Composition jof jblood j- jANSWER✓✓-5.5L jtotal. j50-55% j= jplasma; j90% jwater
Erythropoiesis jis jstimulated jby... j- jANSWER✓✓-erythropoietin
Hemoglobin jA j- jANSWER✓✓-the jmajority jof jadult jhemoglobin. j97% jof
jcirculating jhemoglobin. j2 jalpha jand j2 jbeta jchains.
HbA2 j- jANSWER✓✓-minor jadult jhemoglobin. j2-3% jof jcirculating jhemoglobin. j2
jalpha jand j2 jdelta jchains.
Hemoglobin jF j- jANSWER✓✓-Fetal jhemoglobin. j2 jalpha jand j2 jgamma jchains.
jHas ja jgreater jaffinity jfor jand jmore jregularly jbinds jO2.
Anemia j- jANSWER✓✓-a jdecrease jin jcirculating jred jblood jcells jin jthe jbody, jas
jreflected jby ja jreduction jin jhemoglobin, jhematocrit, jand/or jRBCs. jLess jthan j14
jin jmen jand jless jthan j12 jin jwomen.
Normal jRBC j- jANSWER✓✓-4.5-6
Normal jHemoglobin j- jANSWER✓✓->13 jin jmen, j>12 jin jwomen.
, Normal jHCT j- jANSWER✓✓-40-50in jmen; j35-45 jin jwomen. jusually j3x jthe
jhemoglobin jcount.
Reticulocyte jcount j- jANSWER✓✓-Low j(<0.5%) jHigh j(>2%) jif jhigh, jbone jmarrow
jis jtrying jto jcompensate jfor jloss jin jhgb jor jred jcells. jproblem jexists joutside jof
jthe jbome jmarrow
MCV j(mean jcorpuscular jvolume) j- jANSWER✓✓-description jof jthe jvolume jof jan
jRBC. jNOT jDIAGNOSTIC
RDW j(red jcell jdistribution jwidth) j- jANSWER✓✓-11.5-15 j%; jindex jof jvariation jin
jRBC jsize jand jshape. jIndicates jevolving jmacro/microcytic janemia.
MCH j(mean jcorpuscular jhemoglobin) j- jANSWER✓✓-commonly jused: j27 j- j31
jpg/ jcell
Amount jof jhemoglobin jper jRBC
Microcytic janemia j- jANSWER✓✓-Iron jdeficiency, jthalassemia, jinflammation. jlow
jMCV j<80. jLow jreticulocyte jcount. jUnderproduction.
macrocytic janemia j- jANSWER✓✓-Underproduction. jB12 jdeficiency, jFolic jAcid
jDeficiency, jAntimetabolite jdrugs. jMCV j> j100; jlow jreticulocyte jcount
Normocytic jAnemia j- jANSWER✓✓-MCV j80-100; jlow jreticulocyte jcount; jex:
jdilutional/iatrogenic jsecondary jto jphlebotomy.
Folate jDeficiency jAnemia j- jANSWER✓✓-Macrocytic janemia; jpoor jintake; jlow
jretic, jelevate jMCV/MCH, jthrombocytopenia jad jneutropenia, jelevated
jhomocysteine; jlow jRBC jfolate. jEat jorange jfruits! jNever jtreat jfolate jdeficiency
jwithout jtesting jfor jB12 jdeficiency j- jcan jworsen jneurological jsymptoms
jspecific jto jB12 jdeficiency
Vitamin jB12 jDeficiency j- jANSWER✓✓-Macrocytic; jmalabsorption; joccurs jwhen
jB12 jis jnot jreleased jfrom jfood jproteins jdue jto jimpaired jdigestion; jElevated
jMCV/Macrocytic;
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