tested on patients. CBC always comes back abnormal‚ with leukemic cells often found in the peripheral circulation. Often‚ the total white blood cell count is elevated‚ and the red blood cell count is depressed (anemia) as is the platelet count (thrombocytopenia). (Cutler
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(TA-TMA) is an awful complication with high morbidity and mortality. Patients with TA-TMA are often complicated cases. Nurse practitioners taking care of transplant patients should keep the diagnosis in mind for any patient with the new onset of thrombocytopenia‚ hemolytic anemia‚ and renal failure. Eculizumab should be a reasonable treatment approach in patients with TA-TMA after allogeneic stem cell transplantation. Awareness of the patient’s life factors can guide the advanced practice nurse to formulation
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Also known as toxemia is a pregnancy complication that can only be resolved by delivering the fetus. The mother’s BP is elevated‚ there is protein in her urine‚ and her organs are being damaged. Preeclampsia usually is diagnoses post 20 weeks gestation which is the age of a viable fetus. If a diagnosis is made earlier than 20 weeks the mother and her physician must decide whether the wait or deliver. Waiting until the fetus is viable is highly dangerous due to the fact that preeclampsia leads
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have high incidence of uncontrolled bleeding. The window of dosing differs across patients and across time leading to higher dose abuse of Heparin. Heparin is also associated with adverse reactions in 2-3% patients causing fatal heparin-induced thrombocytopenia. In contrasts‚ effects of Angiomax are accurate Recommendation:
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Anaemia – a condition where there is a reduction in the number of red blood cells and a deficiency of haemoglobin in the blood. Possible Causes of Anaemia – severe blood loss‚ failure of the bone marrow to produce red blood cells‚ genetic inability of red blood cells to carry oxygen adequately‚ destruction of red blood cells by the body or foreign substances‚ dietary (problems with child growth). Common types of Anaemia – Iron deficiency – lack of iron which is the main constitute of Hb‚ pernicious
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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Chapter 30: Nursing Assessment: Hematologic System Test Bank MULTIPLE CHOICE 1. The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident. Which instructions should the nurse include in the discharge teaching? a. Watch for excess bruising. b. Check for swollen lymph nodes. c. Take iron supplements to prevent anemia. d. Wash hands and avoid persons who are ill. ANS: D Splenectomy increases the risk for infection‚ especially with gram-positive
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prevent clot formation or prevent a clot from enlarging. Commonly used for treatment of DVT‚ myocardial infarction‚ pulmonary emboli‚ post operatively. Side effects related to MOA – The most serious adverse reactions are hemorrhage‚ leukopenia‚ thrombocytopenia‚ swelling of face/throat‚ bleeding from the rectum. The most common side effects include: nosebleeds and bruising. Teaching – Aspirin may increase risk of bleeding; avoid OTC medication unless directed to use by doctor. Use electric razor
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metabolism of proteins‚ fats or carbohydrates and are characterized by marked metabolic acidosis with ketosis‚ often with elevated lactate and mild to moderate hyperammonemia. Common signs include vomiting‚ signs of encephalopathy‚ neutropenia and thrombocytopenia. Fatty acid oxidation defects (e.g.‚ short‚ medium‚ and long- chain acyl-CoA dehydrogenase deficiencies) also known as Beta-oxidation defects‚ are a distinct type of organic acid disorder‚ characterized by hypoketotic hypoglycemia‚ hyperammonemia
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HEMATOLOGY REVIEWER ANEMIA Anemia: decrease in the number of RBCs‚ Hb content‚ or Hct content below the lower limit of the normal range for the age and sex of the individual Pediatric Anemia A. Hemolytic Anemia: there is premature destruction of RBCs 1. Hereditary Spherocytosis: most common inherited abnormality of RBC membrane; defect in ankyrin‚ band 3 or spectrin proteins surface area deficiency leading to spherocytosis 2. Pyruvate Kinase Deficiency: defect in PKLR gene PK cannot convert phosphoenolpyruvate
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