NUR 327: Microassessment #4

pathophysiology of pernicious anemia related to vitamin B12; fundamental defect leading to this disease is lack of an intrinsic factor causes of iron deficiency anemia men: occult GI bleeding; women: menorrhagia; low intake, diminished absorption, physiologic increase in requirements, excess iron loss, chronic renal failure, hemodialysis, idiopathic iron loss s/s of sickle cell anemia bony abnormalities, "hand-foot" syndrome w/ periostitis of metacarpal and metatarsal bones, splenomegaly, inability to concentrate urine, priapism with subsequent erectile dysfunction, underdeveloped genitalia + hypogonadism, hepatomegaly, jaundice, gallstones, tachycardia, acute chest syndrome symptoms of acute chest syndrome fever, chest pain, increasing WBC count, pulmonary infiltrates s/s of sickle cell anemia in children shorter, experience delayed puberty, attain normal height with adolescent growth s/s of sickle cell anemia in pregnant women pyelonephritis, pulmonary infarction, pneumonia, antepartum hemorrhage, premature fetal delivery, fetal death first step of hemostasis process vasoconstriction: vascular spasm second step of hemostasis process platelet plug formation third step of hemostasis process coagulation: blood clot where are clotting factors made liver and platelets liver + clotting factors plasma proteins are made by liver that circulate in the bloodstream = coagulation factor