Increased oxygen extraction is the principal compensatory reaction to lowered o 2 when limited by D o 2.
The defining characteristic of pernicious anemia, a megaloblastic anemia, is lack of the intrinsic factor, which results from atrophy of the stomach wall. The gastric analysis was done to determine the primary cause of the anemia.
An elevated excretion of the injected radioactive vitamin B12, which is protocol for the first and second stage of the Schilling test, indicates that the client has the intrinsic factor and can absorb vitamin B12 into the intestinal tract.
It is not specific to anemias. An RBC value of 5. Question 5 The nurse devises a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance?
A Eat animal protein and dark leafy vegetables each day B Avoid exposure to others with acute Hematologic problems C Practice yoga and meditation to decrease stress and anxiety D Get 8 hours of sleep at night and take naps during the day Question 5 Explanation: Clients with aplastic anemia are severely immunocompromised and at risk for infection and possible death related to bone marrow suppression and pancytopenia.
Strict aseptic technique and reverse isolation are important measures to prevent infection. Although diet, reduced stress, and rest are valued in supporting health, the potentially fatal consequence of an acute infection places it as a priority for teaching the client about health maintenance.
Animal meat and dark green leafy vegetables, good sources of vitamin B12 and folic acid, should be included in the daily diet. Yoga and meditation are good complimentary therapies to reduce stress. Eight hours of rest and naps are good for spacing and pacing activity and rest.
Question 6 A client comes into the health clinic 3 years after undergoing a resection of the terminal ileum complaining of weakness, shortness of breath, and a sore tongue.
Which client statement indicates a need for intervention and client teaching? Vitamin B12 combines with intrinsic factor in the stomach and is then carried to the ileum, where it is absorbed in the bloodstream. In this situation, vitamin B12 cannot be absorbed regardless of the amount of oral intake of sources of vitamin B12 such as animal protein or vitamin B12 tablets.
Vitamin B12 needs to be injected every month, because the ileum has been surgically removed. Replacement of fluids and electrolytes is important when the client has continuous multiple loose stools on a daily basis.
Warm salt water is used to soothe sore mucous membranes. Question 7 A vegetarian client was referred to a dietitian for nutritional counseling for anemia. Which client outcome indicates that the client does not understand nutritional counseling?
Coffee and tea increase gastrointestinal motility and inhibit the absorption of nonheme iron.Introduction: Clinically significant hematologic abnormalities are common in persons with HIV infection. Impaired hematopoiesis, immune-mediated cytopenias, and altered coagulation mechanisms have all been described in HIV-infected individuals.
Learn chapter 31 hematologic problems with free interactive flashcards. Choose from different sets of chapter 31 hematologic problems flashcards on Quizlet. Several hematologic problems that may be reflected in the CBC can affect operative risk.
Anemia most likely increases operative risk, although the hemoglobin value cannot be used as the sole predictor.
Baylor College of Medicine is a health sciences university that creates knowledge and applies science and discoveries to further education, healthcare and community service locally and globally. CPT CODE J - Kenalog Injection Kenalog Injection (triamcinolone acetonide injectable suspension, USP) is a synthetic glucocorticoid corticosteroid with anti-inflammatory action.
Types of blood disorders include Platelet disorders, excessive clotting, and bleeding problems, which affect how your blood clots Anemia, which happens when your blood does not carry enough oxygen to the rest of your body.