Med-Surg Final Study Guide

Med-Surg Final Study Guide BURNS: (25) Lewis: 3-4-5-8-9- Ignatavicius: 5-6-8-10-11-12-27 and under Completion Test #1 (Parkland Formula) Smeltzer & Brunner: 3-4-6-20-22-23-24-39 Hematology: Anemia, Thrombocytopenia (3) 1. What would you administer for iron deficiency anemia/fatigue: Ferrous Sulfate 2. A patient is post surgery: Do not administer aspirin (No blood thinners after surgery) 3. Which patient would you see first: Patient with large bruises and is bleeding. Bleeding is a priority-can lead to shock. Needs a blood transfusion Hematology: Polycythemia Vera (2) 4. Which would be contraindicated with Polycythemia Vera: Epo The hallmark of this disease is massive RBC production. Is at increased risk for HTN, Clots, PE, MI, and Stroke The problem with PV is a sustained increase in Hgb and RBC levels, so administering EPO will thicken blood even more. Will have dark facial skin 5. Polycythemia Vera is also called myeloproliferative disorder in which there is increased blood viscosity and increased blood volume. Hgb levels will be 18 or greater, RBC count of 6 million, and Hct of 55% or greater