Update) Med Surg 1 Review| QUESTIONs and
Verified Answers
QUESTION
qualitative platelet defects
ANS>>
- number of platelets may be normal, but their function is not normal
- ask about OTC medications such as aspirin or NSAIDs
QUESTION
thrombocytopenia (quantitative platelet defect)
ANS>>
low platelet count
QUESTION
signs and symptoms of thrombocytopenia
ANS>>
- bruising
- petechiae (platelets <20,000)
- excessive bleeding (platelets <5,000)
- nasal and gingival bleeding
QUESTION
What is the medication treatment for thrombocytopenia?
,ANS>>
corticosteroids
QUESTION
Thalassemia
ANS>>
- inherited defect
- unable to produce hemoglobin
- type of hemolytic anemia
QUESTION
Patient education for thalassemia
ANS>>
- many medications exacerbate the dis- ease
- it is important to review all medications with prescriber
- stem cell transplants and blood transfusions may be used for treatment
QUESTION
iron deficiency anemia
ANS>>
- anemia caused by inadequate iron intake
- most common type of anemia
- type of hypoproliferative anemia
QUESTION
Risk factors for iron deficiency anemia
ANS>>
- living in developing country (low iron intake)
- premenopausal women
- vegetarians
- medications
, - chronic GI disease
QUESTION
signs and symptoms of iron deficiency anemia
ANS>>
- fatigue
- brittle nails
- smooth, red tongue
- pale mucus membranes
- hair loss
QUESTION
How can a nurse tell treatment is effective for iron deficiency anemia?
ANS>>
- patient reports feeling better
- patient is not as fatigued
- overall appearance looks good (hair and nails)
- hemoglobin/hematocrit levels improve
QUESTION
Pernicious anemia
ANS>>
- inability to absorb vitamin B12 due to missing intrinsic factor
- type of megaloblastic anemia (hypoproliferative)
- NOT related to iron intake
- treated with vitamin B12 shots and diet recommendations
QUESTION
Risk factors for pernicious anemia
ANS>>
- bariatric patients