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NSG 533 - Exam 4 Questions And Answers

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NSG 533 - Exam 4 Questions And Answers Anemia - ANSWER -a decrease in circulating red blood cells in the body, as reflected by a reduction in hemoglobin, hematocrit, and/or rbcs. Less than 14 in men and less than 12 in women. Normal RBC - ANSWER -4.5-6 Normal Hemoglobin - ANSWER ->13 in...

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  • November 2, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 533
  • NSG 533
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NSG 533 - Exam 4 Questions And
Answers
Anemia - ANSWER -a decrease in circulating red blood cells in the body, as
reflected by a reduction in hemoglobin, hematocrit, and/or rbcs. Less than 14 in
men and less than 12 in women.

Normal RBC - ANSWER -4.5-6

Normal Hemoglobin - ANSWER ->13 in men, >12 in women.

Normal HCT - ANSWER -40-50in men; 35-45 in women. Usually 3x the
hemoglobin count.

Reticulocyte count - ANSWER -Low (<0.5%) High (>2%) if high, bone marrow
is trying to compensate for loss in hgb or red cells. Problem exists outside of the
bome marrow

MCV (mean corpuscular volume) - ANSWER -description of the volume of an
RBC. NOT DIAGNOSTIC

RDW (red cell distribution width) - ANSWER -11.5-15 %; index of variation in
RBC size and shape. Indicates evolving macro/microcytic anemia.

MCH (mean corpuscular hemoglobin) - ANSWER -commonly used: 27 - 31 pg/
cell
Amount of hemoglobin per RBC

Microcytic anemia - ANSWER -Iron deficiency, thalassemia, inflammation. Low
MCV <80. Low reticulocyte count. Underproduction.

Macrocytic anemia - ANSWER -Underproduction. B12 deficiency, Folic Acid
Deficiency, Antimetabolite drugs. MCV > 100; low reticulocyte count

, Normocytic Anemia - ANSWER -MCV 80-100; low reticulocyte count; ex:
dilutional/iatrogenic secondary to phlebotomy.

Folate Deficiency Anemia - ANSWER -Macrocytic anemia; poor intake; low
retic, elevate MCV/MCH, thrombocytopenia ad neutropenia, elevated
homocysteine; low RBC folate. Eat orange fruits! Never treat folate deficiency
without testing for B12 deficiency - can worsen neurological symptoms specific to
B12 deficiency

Vitamin B12 Deficiency - ANSWER -Macrocytic; malabsorption; occurs when
B12 is not released from food proteins due to impaired digestion; Elevated
MCV/Macrocytic;

Pernicious Anemia - ANSWER -lack of mature erythrocytes caused by inability to
absorb vitamin B12 into the bloodstream

Destruction (Hemolytic anemia) - ANSWER -anemia with elevated reticulocytes;
intrinsic and extrinsic

Intrinsic hemolytic anemia (hereditary) - ANSWER -- Abnormal hemoglobin
- Enzyme deficiencies (pyruvate kinase, G6PD)
- RBC membrane abnormalities: sickle cell anemia, thalassemia

Extrinsic hemolytic anemia (acquired) - ANSWER -(+) Coomb's
DIC: abnormal coags (prolonged PT/PTT)
TTP
HUS
Paroxysmal nocturnal hemoglobinuria: dark urine worse in AM
Hypersplenism
Traumatic 2/2 prosthetic valve;
Elevated LDH, low haptoglobin; elevated indirect bilirubin

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