NUR 200 Exam #1 UMaine Questions And Answers!!

iron, b12, protein, folic acid and erythromycin - What are the components needed to form RBCs? 120 days - RBC lifespan bone marrow - Where are RBCs & blood products produced? saves and recycles iron and hemaglobin/heme - When a RBC dies what does the liver do? microcytic - small RBCs hypochromic - less color, pale RBCs microcyctic and hypochromic - with iron deficency the RBCs are Oral Iron instructions - can cause constipation, upset stomach, n/v, heartburn, bitter taste and black stools. Take with citris to increase absorption, on empty stomach, avoid taking with coffee, tea or caffiene, can stain the teeth Iron deficicency - Lethargy Overexertion (SOB & tachy) White/Weird cravings (PICA) Increased HR, RR & tongue Inflammation Reduction (decrease hgb) Observe changes (microcytic & hypochromic) Nail changes intolerance to cold LOW IRON also they crave iceiron deficiency anemia labs - iron level decreased ferritin level decreased % saturated in circulatory system decreased TIBC (total iron binding capacity): increased Foods high in iron for iron deficency anemia - Eggs Apricots Tofu Legumes & leafy green vegetables OystersTuna Sardines/Seeds pOtatoes Fish Iron fortified (cereals/bread) Red meats & Raisins pOultry Nuts (EAT LOTS OF IRON) B12 deficency anemia signs - Pallor (Pale) Energy decreased/ fatigue Red smooth tongue Numbness/tingling esp. hands & feet Intestinal issues (bloating, indigestion, diarrhea/constipation) CONFUSION Increased depression lOss of appetite Unsteady gait Shortness of breath PERNICIOUSB12 deficency anemia - Pernicious anemia: parietal cells not secreting intrinsic factor found in the ileum, can effect serotonin levels causing confusion Folic acid anemia - alcoholics and pregnant women, give supplements Hemolytic anemia - affects people with Sickle Cell within 1st year of life, genetic, symptoms occur with sickle cell crisis Sickle cell crisis symptoms - Pain, Fever and increased bilirubin