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Hema Flashcards

1
Q

IRON DEFICIENCY ANEMIA
no.1 cause

A

BLOOD LOSS/ TRAUMA/ SURGERY/ GI BLEED

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2
Q

IRON DEFICIENCY ANEMIA 3 LATE SX

A

Brittle hair, cyanosis, spoon shaped nails

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3
Q

IRON DEFICIENCY ANEMIA CBR or not

A

CBR to dec O2 demand

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4
Q

IRON DEFICIENCY ANEMIA diet

A

GLORY DIET (green leafy, Legumes, Organ meats, Raisins, Yolk)

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5
Q

IRON DEFICIENCY ANEMIA ano 3 bawal i-take pag umiinom iron

A

Antacid, Tea, and Milk (2-3 before/after meals)

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6
Q

IRON DEFICIENCY ANEMIA Ferrous Sulfate
Better absorption:
Best absorbed:
Best time:

A

Vit C/ food sources
Empty stomach
W meals

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7
Q

IRON DEFICIENCY ANEMIA Ferrous sulfate liquid prep nakaka?

A

Teeth stained

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8
Q

IRON DEFICIENCY ANEMIA Ferrous sulfate parenteral prep best site?

A

IM Z track (prevent discoloration and subq tissues)

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9
Q

PERNICIOUS ANEMIA
Attacks?

A

CNS

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10
Q

PERNICIOUS ANEMIA concept

A

Lack of intrinsic factor for Vit B12 absorption

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11
Q

PERNICIOUS ANEMIA
makes immature to mature RBC, from stomach, reabsorb sa parietal cells

A

INTRINSIC FACTOR

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12
Q

PERNICIOUS ANEMIA 2 fxns of VIT B12

A

RBC MATURATION
MYELIN SHEATH PROTECTION

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13
Q

PERNICIOUS ANEMIA hallmark

A

Red beefy tongue

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14
Q

PERNICIOUS ANEMIA other sx

A

Anemia, Numbness and paresthesia, mouth sores

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15
Q

PERNICIOUS ANEMIA dx test

A

Schilling’s test (24-48h urine collection; vit b22 ingest)

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16
Q

PERNICIOUS ANEMIA lifelong injection of Vit b12? Ilang ml? Tuwing kelan? route and site

A

Yes, 5-10 ml, q 3 mos IM, Dorso and ventrogluteal

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17
Q

PERNICIOUS ANEMIA bat 3 mos pag inject ng Vit b12

A

Erythropoietin production

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18
Q

APLASTIC ANEMIA concept

A

BONE MARROW SUPPRESSION

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19
Q

APLASTIC ANEMIA tatlong mababa

A
  1. Rbc (anemia)
  2. Wbc (infection)—sore throat muna then fever
  3. Platelet (bleeding)
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20
Q

APLASTIC ANEMIA dx and saang site

A

Bone marrow aspiration, posterior iliac crest

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21
Q

APLASTIC ANEMIA bone marrow aspiration painful or painless

A

Painless

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22
Q

APLASTIC ANEMIA ibibigay

A
  1. Fresh whole blood
  2. Packed RBC
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23
Q

APLASTIC ANEMIA what type of isolation (infection, pt iniingatan)

A

REVERSE ISOLATION

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24
Q

APLASTIC ANEMIA Precautions

A

BLEEDING PRECAUTION (noncontact sport, isometric exercise, padded side rails, solitary play)

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25
APLASTIC ANEMIA isometric exercise
Sa kama lang kasi CBR
26
SICKLE CELL ANEMIA life long disorder or not
LIFELONG
27
SICKLE CELL ANEMIA Clamping of RBC, dec circulation, backflow/pain
SICKLE CELL CRISIS
28
SICKLE CELL ANEMIA mngt sa sickling
HYDRATION
29
SICKLE CELL ANEMIA embolism prevention
LOOSE CLOTHING
30
THALASEMIA MAJOR concept
Lack of B globulin needed for Hgb synthesis—> Hemolytic Anemia
31
THALASEMIA MAJOR classic sx
pathologic fracture/ bone pain (si tala may bone pain) Severe ang anemia Progressive pallor
32
THALASEMIA MAJOR __therapy
Fe Chelation therapy (Deferoxamine)
33
THALASEMIA MAJOR cause of death
Hypovolemic shock
34
THALASEMIA MAJOR life expectancy
Late childhood
35
POLYCYTHEMIA VERA concept
inc bone marrow element
36
POLYCYTHEMIA VERA classic sx
Pruritus Painful fingers and toes Red to purple to blue skin
37
POLYCYTHEMIA VERA confirmatory test
Bone marrow aspiration
38
POLYCYTHEMIA VERA viscous blood ano mataas
HCT
39
POLYCYTHEMIA VERA Rx factor
>60 y.o
40
POLYCYTHEMIA VERA unusual mataas makita sa dx
Uric acid= gouty arthritis
41
POLYCYTHEMIA VERA mngt done q 3 mos kuha 250-500 cc
PHLEBOTOMY
42
POLYCYTHEMIA VERA mngt as Ca agent
Hydroxyurea
43
POLYCYTHEMIA VERA mngt for gout and ano SE
Allopurinol, Steven Johnson Syndrome
44
POLYCYTHEMIA VERA mngt sa pruritus
Oatmilk bath, cold compress, antihistamine
45
POLYCYTHEMIA VERA HE
no long period ng rest (hypercoaguability) Follow up q 3 mos Resume ADL
46
IDIOPATHIC THROMBOCYTOPENIA PURPURA concept
Baba platelet
47
IDIOPATHIC THROMBOCYTOPENIA PURPURA common age
School age to adole
48
IDIOPATHIC THROMBOCYTOPENIA PURPURA nursing diagnosis
Disturbed body image
49
IDIOPATHIC THROMBOCYTOPENIA PURPURA sx
Easy bruising, ecchymosis, petechiae, bleeding mucous membrane
50
IDIOPATHIC THROMBOCYTOPENIA PURPURA cause and contributing factor
Unknown, autoimmune
51
IDIOPATHIC THROMBOCYTOPENIA PURPURA unang unang ibibigay
1. Steroid 3 days para dec ung antibody na antiplatelet 2. IVIG 3. Anti D antibody
52
IDIOPATHIC THROMBOCYTOPENIA PURPURA IVIG is based on?
WEIGHT
53
IDIOPATHIC THROMBOCYTOPENIA PURPURA tx na obsolete na
Anti D antibody
54
Anti D antibody 4 requirements
* No bleeding * Normal hgb * Normal wbc * <19 y.o
55
IDIOPATHIC THROMBOCYTOPENIA PURPURA last tx modality
PLATELET TRANSFUSION
56
DOC ng batang may pain? Antidote?
Acetaminophen. Mucomyct
57
MNGT Prevent sickle cell crisis Prevent sickling
Hydration O2
58
Hemophilia classic sx Polycythemia age target nito
Hemarthrosis (Joint bleeding) Olds kasi malapit dugo (✅aspirin)
59
Erythrocytosis means Phelobotomy purpose Stomach surgeries risk for what anemia
⬆️RBC ⬇️blood viscosity Pernicious
60
Status asthmaticus DOC and check?
Epinephrine. HR
61
Injecting sticky chemical in pleura to prevent rapid accumulation of fluids, is painful kaya naga morphine
Pleurodesis
62
Compli of bronchitis na nagdidilate ang bronchioles
Bronchiectasis

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