100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 5461/62 UNCOMMON ANEMIAS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED $9.99   Add to cart

Exam (elaborations)

NURS 5461/62 UNCOMMON ANEMIAS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

 2 views  0 purchase
  • Course
  • Institution

NURS 5461/62 UNCOMMON ANEMIAS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Anemia is a decrease in RBCs or Hbg- always reflects underlying disease • Diagnosis depends on Hct [amount of RBCs in whole blood] or Hbg - Men- Hct <42% or Hbg <14g - Women- Hct <37% or Hbg &lt...

[Show more]

Preview 2 out of 13  pages

  • November 2, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NURS 5461/62 UNCOMMON ANEMIAS EXAM

QUESTIONS AND ANSWERS WITH COMPLETE

SOLUTIONS VERIFIED


Anemia is

a decrease in RBCs or Hbg- always reflects underlying disease • Diagnosis depends on

Hct [amount of RBCs in whole blood] or Hbg - Men- Hct <42% or Hbg <14g - Women-

Hct <37% or Hbg <12g

Approach to Evaluation of Anemia

Data to be obtained on all anemic patients - Hct and Hbg - MCV; MCHC - Reticulocyte

Count - Smear of peripheral blood

Three questions should be asked - What is MCV? - What is basic mechanism of the

anemia? - Does patient have another problem associated with anemia?

Mean Corpuscular Volume [MCV]

• Microcytic - MCV <80 • Normocytic - MCV 80-100 • Macrocytic - MCV >100

Basic Mechanism of Anemia

Decreased production of RBC by marrow • Bleeding • Hemolysis • Reticulocyte count

used to assess response of marrow to anemia- normal reticulocyte count is 1% • 1% of

new cells that are being released daily into circulation from the marrow

Reticulocyte Index-

reticulocyte count x patient's Hct/45

, Basic Mechanism of Anemia

If patient is anemic, marrow should be able to acutely triple its output of new cells •

Reticulocyte count must be adjusted for level of anemia to obtain reticulocyte index

In patients with bleeding or hemolysis, RI should be > or = 3% • Patients anemic from

abnormal production of RBCs have RI <3%, often <1.5%

Other Problems Commonly Associated with Anemia

G6PD Deficiency • Hemoglobinopathies • Thalassemia • Immune hemolysis after a virus

• Chronic inflammation • Malignancies • Hypothyroidism • Hyperthyroidism • Renal

Failure • Aortic Valve Replacement • Rheumatoid Arthritis • Collagen Vascular Disease

Drugs Associated with Anemia

Methyldopa • Quinine-pancytopenia • Quinidine • Chloramphenicol • Gold Salts • Anti-

TB drugs • Dilantin • Sulfa drugs-chronic dose • Methotrexate • Amphotericin • Cis-

platinum • Zidovudine

Anemia with a Low MCV

For the most part, anemia with low MCV is iron deficiency or thalassemia, Occasionally,

anemia of chronic

disease can be microcytic if **longstanding ONLY

Iron Deficiency Anemia

iN a child, man or postmenopausal woman aaa should be considered GI bleeding until

proved otherwise

IDA

- History of eating ice, starch or clay • Pica - on PE sore tongue, brittle ridged nails,

spoon nails or cheilosis •

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseAdvocate. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart