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NURS300 Hematologic Disorders Module 2 Exam
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NURS300 Hematologic Disorders Module 2 Examanemia, what specific cells are deficient?
deficiency in # of rbc, quality hgb, and hct
what are some different causes of anemia?
- blood loss
- impaired rbc production (nutrition deficiency, decreased availability)
- increased destruction of rbcs (sickle cell, meds, incompatible blood)
what can cause the clinical manifestations of anemia
the body's response to tissue hypoxia
what are the levels that are assessed in CBC to determine anemia?
hgb
mild anemia is categorized as hgb of what? moderate anemia is categorized as a hgb of
what?
mild anemia- Hgb of 10-14 g/dl
moderate anemia-hgb 6-10 g/dl
clinical manifestations of mild anemia include
palpitations, DOE, diaphoresis
clinical manifestations of moderate anemia include
increased cardiopulmonary symptoms, dyspnea at rest or DOE, severe fatigue
severe anemia is categorized as a hemoglobin level of what
<6 g/dl
what are integumentary signs of severe anemia
pallor, jaundice, pruritus
,what are symptoms of the eyes that occur with severe anemia
blurred vision, retinal hemorrhage
what are symptoms of th emouth with severe anemia
smooth tongue and glossitis
what are cardiovascular symptoms associated with severe anemia
tachycaedia, MI, >HR and SV, systolic murmurs
what are pulmonary manifestations of severe anemia
tachypnea, orthopnea, dyspnea at rest
what are neurologic manifestations of severe anemia
HA, vertigo, irritability, depression
what are GI manifestations of severe anemia
anorexia, sore mouth
What are musculoskeletal manifestations of severe anemia
Bone ache
What are general manifestations of severe anemia
Lethargy, fatigue, temperature intolerance
List nursing diagnosis for anemia
1. activity intolerance
2. imbalanced nutrition: less than body requirements
3. ineffective therapeutic regimen management
4. potential complication: hypoxemia
Nursing goals for a patient with anemia
- resume normal ADLs
, - maintain appropriate nutrition
- experience no complications
Anemia is more common in what age population? Why?
Gerontologic
- Chronic illness
- Nutritional deficiencies
ss may go unrecognized or mistaken for normal aging changes
which type of anemia is one of the most common chronic hematologic disorders in client
over 65
iron deficieny anemia
etiology of iron-deficient anemia
1. blood loss from GI or GU tract is most common cause
2. inadequate diet
3. malabsorption
hemolysis
with iron deficiency anemia, pallor is the most common finding in what part of the body?
ear lobes, palms, and conjunctiva
what is the 2nd most common finding of iron deficiency anemia?
inflammation of the tongue - glossitis
what are other findings in patients with iron deficient anemia?
pica, dizziness, fatigue, shortness of breath
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