NRSG 2350 Exam 2 | Northeastern University | UPDATED
Questions with 100% Verified Answers
Q1: Erythropoiesis
A: production of red blood cells
1. oxygen used in tissue
2. Arterial oxygen pressure goes down
3. Erythropoiesis goes UP
.4. Stem cell stimulation goes UP
5. RBC formed
6. O2 capacity UP
7. Arterial oxygen pressure UP
8. Stimulation for erythropoietin DOWN (back to 1)
Q2: Erythropoiesis stimulating agents
A: Stimulate bone marrow to make RBCs
Epoetin Alfa (Epogen or Procrit)
anemia associates w/
renal fail
aids
Darbepoetin Alfa (Aranesp)
anemia associated with chronic kidney disease + dialysis pts
Q3: Anemia
A: Disorder with too few or inefficient RBCs
SIGNS
shortness breath
change stool color
muscle pain
fainting + fatigue
angina + HA
spleen enlarge
skin yellowing
clubbing
Q4: cytic
A: cell size (hypo / hyper)
Q5: chromic
A: HBG content (Hypo / hyper)
Q6: Microcytic anemia
, A: abnormally small RBC
EX: Fe lack, thalassemia
Q7: macrocytic anemia
A: Large, thick RBCs
EX: folate + B12 lack
Q8: Normocytic anemia
A: normal size and appearance RBC
Insuff #
EX: chronic kidney disease, cancer, AI disorder
Q9: iron deficiency anemia
A: Negative iron balance
@ Risk: women with periods, pregnant, rapid growing kids w/o nutrients, GI bleed
Treat with Oral ferrous gluconate (fergon) + Ferrous sulfate
AE: GI + constipation
Teach
Stool black
Stool soften helps
Vit C helps absorb
2-3 weeks for improve
Iron rich foods
Q10: Megaloblastic Anemia
A: Vit B12 or Folate lack
Bone marrow produces immature unsually abnormal RBCs
(Vit B12 + Folate needed for healthy structure of RBC)
Q11: pernicious anemia
A: Gastric mucosa cannot produce intrinsic factor (produced in stomach) and Vit B12 can
not be absorbed
bleeding gums, diarrhea, impaired smell, loss of deep tendon reflexes
Serum B12 levels, schillings test
Q12: Anemia of chronic disease
A: inflammation
Q13: aplastic anemia
A: lacks Red, White, + Thrombocytes
Q14: hemolytic anemia
Questions with 100% Verified Answers
Q1: Erythropoiesis
A: production of red blood cells
1. oxygen used in tissue
2. Arterial oxygen pressure goes down
3. Erythropoiesis goes UP
.4. Stem cell stimulation goes UP
5. RBC formed
6. O2 capacity UP
7. Arterial oxygen pressure UP
8. Stimulation for erythropoietin DOWN (back to 1)
Q2: Erythropoiesis stimulating agents
A: Stimulate bone marrow to make RBCs
Epoetin Alfa (Epogen or Procrit)
anemia associates w/
renal fail
aids
Darbepoetin Alfa (Aranesp)
anemia associated with chronic kidney disease + dialysis pts
Q3: Anemia
A: Disorder with too few or inefficient RBCs
SIGNS
shortness breath
change stool color
muscle pain
fainting + fatigue
angina + HA
spleen enlarge
skin yellowing
clubbing
Q4: cytic
A: cell size (hypo / hyper)
Q5: chromic
A: HBG content (Hypo / hyper)
Q6: Microcytic anemia
, A: abnormally small RBC
EX: Fe lack, thalassemia
Q7: macrocytic anemia
A: Large, thick RBCs
EX: folate + B12 lack
Q8: Normocytic anemia
A: normal size and appearance RBC
Insuff #
EX: chronic kidney disease, cancer, AI disorder
Q9: iron deficiency anemia
A: Negative iron balance
@ Risk: women with periods, pregnant, rapid growing kids w/o nutrients, GI bleed
Treat with Oral ferrous gluconate (fergon) + Ferrous sulfate
AE: GI + constipation
Teach
Stool black
Stool soften helps
Vit C helps absorb
2-3 weeks for improve
Iron rich foods
Q10: Megaloblastic Anemia
A: Vit B12 or Folate lack
Bone marrow produces immature unsually abnormal RBCs
(Vit B12 + Folate needed for healthy structure of RBC)
Q11: pernicious anemia
A: Gastric mucosa cannot produce intrinsic factor (produced in stomach) and Vit B12 can
not be absorbed
bleeding gums, diarrhea, impaired smell, loss of deep tendon reflexes
Serum B12 levels, schillings test
Q12: Anemia of chronic disease
A: inflammation
Q13: aplastic anemia
A: lacks Red, White, + Thrombocytes
Q14: hemolytic anemia