ACTUAL EXAM STUDY GUIDE WITH 100%
VERIFIED ANSWERS GRADED A+
⩥ decrease RBC. Answer: anemia
⩥ WBC. Answer: 5,000-10,000
⩥ elevated WBC. Answer: infection
⩥ decreased WBC. Answer: immunosuppression
⩥ Iron. Answer: females 60-160 mcg
males 80-180
⩥ elevated iron. Answer: hemochromatosis, iron excess
liver disorder, magaloblastic anemia
⩥ decreased iron. Answer: anemia or hemorrhage
⩥ platelets. Answer: 150,000-4000,000
,⩥ increased platelets. Answer: malignancy or polycythemia vera
⩥ decreased platelets. Answer: autoimmune disease
bone marrow suppression or enlarged spleen
⩥ Hbg. Answer: females 12-16
males 14-18
⩥ decrease Hgb and Hct. Answer: anemia
⩥ Hct. Answer: females 37%-47%
males 42-52%
⩥ anemia in children
S & SX:. Answer: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
⩥ iron supplements. Answer: give 1 hr before or 2 hr after antacid to
prevent malabsorpt
N/D and constipation common at start of therapy
,use straw for liquid iron to prevent staining of teeth
⩥ aPTT. Answer: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
⩥ increased aPTT. Answer: hemophilia
disseminated intravascular coagulation DIC
liver disease
⩥ PT. Answer: 11-12.5 seconds, 85-100%
⩥ increased PT time. Answer: evidence of deficiency or clotting
⩥ decreaed PT time. Answer: evidence of vit K excess= bleed out
⩥ acute hemolytic blood transfusion reactions. Answer: **low back
pain, TACHYcardia, HYPOtension
⩥ febrile reactions. Answer: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
, ⩥ mild allergic reactions. Answer: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
⩥ anaphylactic shock. Answer: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids
and vasopressor
⩥ fluid overload. Answer: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
⩥ sepsis and septic shock. Answer: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
⩥ if disseminated intravascular coagulation (DIC). Answer: admin
heparin in early stage
-blood products and clotting factors in late stage
⩥ PICA. Answer: eating things like soil, chalk, for at least 1 month