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CMN 572 Study Guide – Questions With Appropriate Solutions

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CMN 572 Study Guide – Questions With Appropriate Solutions

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Practice questions for this set


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Stage 1 (90-100% function): No symptoms. Other health issues DM, HTN, obesity


Stage 2 (60-89% function: No symptoms. Protein leaking in urine <200mcg


Stage 3 (30-59% function): Edema, fatigue, back pain, foamy, darker urine,
microalbumin (>200mcg), food restrictions: sodium / phosphorus


Stage 4 (15-29% function): Stage 3 symptoms + n/v, difficulty concentrating,
tingling in toes / fingers, loss of appetite, sleep issues, kidney dialysis, renal
dietitian required, more food restrictions: less K+


Stage 5 (0-14% function): Stage 4 symptoms + fatigue, easy bruising, thirst,
cramps, skin color changes, making



Choose an answer



1 Anemia 2 CKD stage s/s



3 Platelet count 4 Hbg parameters

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Terms in this set (118)



Anemia broad high yield diagnosis, usually suspected by
phycial findings and the lab parameters of low Hgb
and/or Hct. Chief complaint: fatigue


Anemia causes excess blood loss, excess destruction, decreased or
impaired production of iron.


Anemia - social hx ETOH/drug use, vegetarians, activity level changes,
CO poisoning, medications use (zinc, aspirin,
NSAIDs), lead poisoning.


Anemia sx Pallor tachycardia, DOE, tachypnea, paresthesia,
headaches, vomiting, hematochezia, splenomegaly,
glosstiis, cheilosis, mood/sleep disturbances, tinnitus,
pica.
*dehydration can mask anemia, fluid overload can
mimic anemia


Hbg parameters Men-13.6-16.9
Women-11.9-14.8


RBC erythrocytes; lifespan is 120 days


Hgb protein in RBCs that carries O2


Hct blood test that measures how much of a persons
blood is made up of RBCs, normally 3x the
hemoglobin


MCV-mean corpuscular volume Size of RBC
low=microcytic
high=macrocytic

, MCH (mean cell hemoglobin) color of single RBC
low=hypochromic
high=hyperchromic


MCHC (mean corpuscular 31-36% Hb/cell*
hemoglobin concentration) (commonly used: 32 - 36 g/dL)
Concentration of hemoglobin per RBC


RDW (red cell distribution width) variation in size of RBCs
>vairety=sicle cell, reticulocytosis, transfusions


Platelet count thrombocytes;
small, colorless cell fragments in blood, form clots
and stop and prevents bleeding


Retic count % of immature RBCs released from bone marrow into
peripheral circulation
low=bone marrow failure or nutritional def.
high=body trying to replenish when loss occurs


TIBC (total iron binding capacity) Amount of transferrin that can bind iron from gut to
cells
Made in response to low iron stores


Transferrin protein that transports iron in the blood
High=iron def anemia, pregnancy, ocp use


Ferritin Protein that stores iron reserves


WBCs Leukocytes; part of the bodies immune system and
helps fight infection. Includes granulocytes,
monocytes, lymphocytes, and bands


Granulocytes Neutrophils-50-70% of WBC-1st line defense
Eosinophils 0-3% of WBC kills parasites, cancer cells
and assists basophils with allergic response
Basophils 1-3% of wbc Prevents blood clotting during
healing

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