Chapter 28 Flashcards
von Williebrand’s disease
Blood disorder. In this common disease, although the patient has a normal number of platelets circulating in the bloodstream, the patient’s platelets are functionally defective, thus allowing for excessive bleeding when injury occurs.
Which of the following organs may be seriously damaged in sickle cell anemia, subsequently leading to severe infections?
Spleen
________ patients are at high risk for acquiring the inherited disorder called sickle cell anemia.
African American
Because of abnormally shaped hemoglobin, sickle cell anemia (SCA) patients may occasionally experience ________, causing a blockage of small blood vessels.
Sludging
You encounter a patient who has been having diffuse abdominal pain for one week. The patient has a pulse rate of 86, a blood pressure of 140/90, and a respiratory rate of 20. However, the patient appears pale and complains of generalized weakness and shortness of breath during everyday activities. You suspect the patient is experiencing:
Chronic anemia
A patient with a medical history of sickle cell anemia is complaining of chest pain and shortness of breath. The patient is breathing 26 times per minute in short, shallow respirations. However, the patient’s oxygen saturation via pulse oximetry is 100% on room air. The best approach regarding supplemental oxygen is to:
Place the patient on a nonrebreather mask
Patients with a history of chronic sickle cell anemia (SCA) may present with which of the following signs and symptoms?
Yellowing of the skin and dyspnea on exertion
You are dispatched to a private residence for a 52-year-old African American male sitting in his living room complaining of chest pain. During your assessment, he discloses that he has the sickle cell trait. Because of this you should:
Treat the patient as any other 52 year old with chest pain
Which of the following pathologies put patients at high risk for acute renal failure?
Shock
Approximately how many Americans are currently on some type of dialysis?
450,000
Approximately what percentage of United States dialysis patients treat themselves at home?
8 percent
How long does a typical hemodialysis treatment last?
3 to 4 hours
How many times per week do the majority of American hemodialysis patients receive treatment?
Three
Which of the following is the most accurate definition of anemia?
A lack of a normal number of red blood cells in the circulation
Patients who dialyze at home are at high risk for what type of infection?
Peritonitis
