Medical-surgical Nursing Demystified
CHAPTER 4 Hematologic System^179 Plan nursing care based on patient tolerance of activity. Monitor for angina. Aplastic Anemia ...
(^180) Medical-Surgical Nursing Demystified INTERPRETING TEST RESULTS Low hemoglobin. Low hematocrit. Low RBC count. Thrombocyt ...
CHAPTER 4 Hematologic System^181 NURSING INTERVENTION Monitor vital signs for changes. Record intake and output of fluids. Prot ...
(^182) Medical-Surgical Nursing Demystified HALLMARK SIGNS AND SYMPTOMS Weakness due to anemia and tissue hypoxia Pallor due to ...
CHAPTER 4 Hematologic System^183 Parenteral iron replacement for those who cannot tolerate or do not respond to oral therapy, h ...
(^184) Medical-Surgical Nursing Demystified PROGNOSIS Ongoing replacement of vitamin B 12 is necessary to correct the deficit an ...
CHAPTER 4 Hematologic System^185 B 12 to combat the deficiency. The injections eventually become monthly for lifelong maintenanc ...
(^186) Medical-Surgical Nursing Demystified PROGNOSIS The prognosis varies depending on the underlying disease process and the a ...
CHAPTER 4 Hematologic System^187 Platelets—replaces needed cells. Cryoprecipitate—replaces fibrinogen. Administer anticoagulant ...
(^188) Medical-Surgical Nursing Demystified PROGNOSIS The most common sites of bleeding are into the joints, muscles, or from th ...
CHAPTER 4 Hematologic System^189 NURSING INTERVENTION No IM injections. No aspirin. To stop bleeding: Elevate site. Apply direc ...
(^190) Medical-Surgical Nursing Demystified a longer course. The chronic patients typically have an insidious onset and a bet- t ...
CHAPTER 4 Hematologic System^191 Combination: Daunorubicin, vincristine, prednisone, asparaginase. Administer platelet transfus ...
(^192) Medical-Surgical Nursing Demystified NURSING INTERVENTION Monitor for bleeding—platelet count may be decreased. Monitor ...
CHAPTER 4 Hematologic System^193 Skeletal fractures due to loss of normal bone structure (osteoporosis) Increased risk of infec ...
(^194) Medical-Surgical Nursing Demystified NURSING DIAGNOSES Pain Impaired mobility Risk for injury NURSING INTERVENTION Pro ...
CHAPTER 4 Hematologic System^195 HALLMARK SIGNS AND SYMPTOMS Facial skin and mucous membranes dark and flushed (plethora) Hyper ...
(^196) Medical-Surgical Nursing Demystified Adequate hydration. Anticoagulants such as aspirin. Administer myelosuppressive med ...
CHAPTER 4 Hematologic System^197 Sickle Cell Anemia WHAT WENT WRONG? This is an autosomal recessive disorder in which an abnorma ...
(^198) Medical-Surgical Nursing Demystified Elevated WBCs. Increased reticulocytes. Presence of Howell-Jolly bodies and target ...
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