Blood And Lymph Flashcards Preview

Med Surg Quiz 4 > Blood And Lymph > Flashcards

Flashcards in Blood And Lymph Deck (30)
Loading flashcards...
0

What's Lymphedema?

Accumulation of lymph in soft tissue, can be caused by a damaged lymphatic system (value).

1

Nursing interventions for lymph edema?

Elevate extremity above heart level, limit sodium, no tight clothes, prevent infection, diuretics, emotional support. ( no blood draws and b/p on extremity)

2

Idiopathic thrombocytopenia

Low platelet count for unknown reason.

3

Nursing considerations of idiopathic thrombocytopenia.

Monitor signs of bleeding ( petechia, ecchymosis, nose/stool/vomit bleeds )

4

Hodgkin's disease (enlargement of lymph nodes)

Cancer of lymphoid tissue

5

Complications of Hodgkin's disease

Airway (hear strider) , fever, night sweats, weight loss
Tx: chemo and radiation

6

Nursing care after a bone marrow biopsy

Pressure for 10min and monitor for hematoma, bleeding and edema

7

Side effects of chemotherapy

Weight loss, nausea, vomiting, hair loss, anorexia, bone marrow depression - low WBC (infection) - low RBC (anemia) - low platelets (bleeding)

8

Nursing care for irritated mouth

Stomatitis- oral car- mouth swabs and soft foods

9

Interventions to help patient with fatigue

Problem for people with anemia and chemo.
Rest, short periods of activity and activity
Goal- increase activity

10

S/S hemophilia

Bleeding, bruising, joint bleeds- hemoarthrosis- joint deformities- limited movement

11

Hemophilia

Certain coagulation factor is missing -lack of factor 8

12

Polycythemia

Too many red blood cells - thick blood - risk for blood clot (cause lack do o2)

13

Nursing interventions for polycythemia

Hydration (3-6liters of water within 24hrs) and anticoagulants
*need hemocrite blood test or complete blood count

14

S/S anemia

Fatigue, irritable, pale, SOB, activity intolerance,
*need hemoglobin, hemocrite, RBC test

15

Nutrient deficiencies that causes anemia

Iron, B12 and folic acid

16

What do you need to monitor during a blood transfusion

*Allergic reaction (itching, rash, hives)
If reaction occurs, stop transfusion and notify nurse and doctor.
*Monitor vitals before/during/after

17

Leukemia

A lot of white blood cells but immature - risk for infection

18

Nursing considerations for someone with leukemia

Reverse isolation, protect patient, hand washing and monitor for bleeding or infection

19

Purpura

Purple spots under skin (bigger than petechia)
It's a hemorrhage in skin (mouth, brain, organs)
*from thrombocytopenia , hemophilia and any bleeding disorders

20

Precautions taken with patient at risk for bleeding

No injections , avoid IM , if needed use SQ with small needle

21

Pernicious anemia

(Large immature cells) lack of intrinsic factor in stomach lining - prevents absorption of B12

22

Side effects of pernicious anemia

(Nervous system issues) numbness and tingling

23

Sickle cell crisis (African Americans)

RBC has low o2 (abnormal hemoglobin)
Cells clump together -block blood flow
-sickles when have lack of o2 and hydration

24

Treatment for sickle cell anemia

O2 , hydration and analgesics
(May have anemia)

25

Nursing care after a splenectomy (enlargement of spleen)

Assess for bleeding, hematoma and infection.
*abdominal distention is a sign of internal bleeding.
*fever is common after splenectomy

26

Multiple myeloma

Cancer of plasma cells in bone marrow

27

S/S multiple myeloma

Headache, bone pain, pathological fractures, anemia, skeletal deformities

28

Thrombophlebitis

Blood clot in vein (DVT)
Causes inflammation in vein (swollen, red, warm, shiny, tender)

29

Treatments and preventions of thrombophlebitis

Tx: anticoagulants and bed rest
Preventions: elevate leg, warm packs, ambulation, ted hose, hydration and exercise