Samuel Merritt University MCA II Exam 2 Content Guide: Hematologic Disorders Questions With Complete Solutions

Samuel Merritt University MCA II Exam 2 Content Guide:
Hematologic Disorders Questions With Complete Solutions

Anemia Correct Answers ↓ RBCs, ↓ Hb , and/or the volume of
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PRBC's (Hct) → Hypoxia

[Note: A clinical sign of an underlying illness, not a disease]

Anemia: 3 Major Categories Correct Answers 1. Nutritional
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Deficiency (iron, cobalamin, folic acid)

2. Acute or Chronic Blood Loss (ulcers, colon CA, GI bleed,
liver disease)

3. Anemia of Chronic Disease (sickle cell, kidney failure)

Anemia: Typical S/S Correct Answers Fatigue
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Dyspnea
Dizziness
Pale/pallor
Cold hands and feet
Palpitations
Jaundice
Pruritus

Anemia: Collaborative Care Correct Answers #1 goal: Correct
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the cause

- Labs (H&H, MCV, MCH, MCHC, reticulocytes, iron, TIBC,
transferrin, bilirubin)
- O2

, - IVF
- Drug therapy/opioids for pain
- Lifestyle and dietary changes
- Fatigue management
- Safety issues
- Replace blood and blood products (**Not first intervention.
First: Ensure pt safety, plenty of rest w/ activity as tolerated,
O2).

Iron Deficiency Anemia: Causes Correct Answers - Inadequate
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dietary intake (vegetarians/vegans at risk)
- Malabsorption (i.e. small intestine—store and re-use Fe)
- Blood loss
Major sources of chronic blood loss are GI & GU systems (i.e.
surgery, menstruation)
- Hemolysis (i.e. dialysis machine)

Melena Correct Answers black stools
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(black color from iron in RBCs)

Iron Deficiency Anemia: Clinical Manifestations Correct ......




Answers - General anemia S/S
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- Microcytic cells
- TONGUE (glossitis, burning sensation)
- Cheilitis (inflammation of the lips)
- HA

Iron Deficiency Anemia: Labs Correct Answers H&H
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CBC
RBC
serum iron