2
Nur 211 exam 3 with verified detailed answers
|| || || || || || ||
Sickle cell anemia predisposition - ✔✔African american
|| || || || || ||
Central africa ||
The near east
|| ||
Mesiterranean
Aboriginals
Hispanics (caribbean, central and south america)
|| || || || ||
Sickle cell anemia clinical manifestations - ✔✔Fatigue
|| || || || || ||
Weakness
Pain
Swelling
Tachycardia
Murmur ||
Enlargement of bones in face and skull || || || || || ||
Sickle cell how to diagnosis - ✔✔CBC - low hematocrit
|| || || || || || || || || ||
Hgb electrophoresis
||
What is sickle cell acute Vaso-occlusive crisis? - ✔✔Very painful, rbc and WBC entrapment
|| || || || || || || || || || || || || ||
causing tissue hypoxia, inflammation, and necrosis due to inadequate blood flow
|| || || || || || || || || ||
What is sickle cell aplastic crisis? - ✔✔Due to parvovirus, rapid fall in HgB were bone
|| || || || || || || || || || || || || || || ||
marrow cannot compensate || ||
,2
What is sickle cell sequestration crisis? - ✔✔Other organs (specifically spleen) affected by
|| || || || || || || || || || || || ||
pooling of sickle cells
|| || ||
What triggers a sickle cell crisis? - ✔✔Illness
|| || || || || || ||
Stress
Alcohol
Dehydration ||
Cold weather
||
High altitude
||
Complications of sickle cell anemia - ✔✔Anemia, Pulmonary hypertension, Acute chest
|| || || || || || || || || || ||
syndrome, heart/renal failure, CVA/Stroke, infection, leg ulcers, eye damage, substance
|| || || || || || || || || ||
abuse
How do you treat sickle cell anemia? - ✔✔Management of symptoms, therapies (rx,
|| || || || || || || || || || || || ||
procedural, supportive) ||
What are procedural therapies to treat sickle cell anemia? - ✔✔Hematopoietic stem cell
|| || || || || || || || || || || || ||
transplantation, transcranial doppler studies || || ||
What RX therapy is used to treat sickle cell anemia? - ✔✔Hydroxyurea
|| || || || || || || || || || ||
Nsaids
Morphine
Opioids
Antibiotics (pcn) ||
Corticosteroids
, 2
What class of drugs is hydroxyurea to treat sickle cell anemia - ✔✔Antineoplastic
|| || || || || || || || || || || ||
What is the typical dose for sickle cell patients using hydroxyurea? - ✔✔15-35mg/kg/day
|| || || || || || || || || || || ||
How does hydroxyurea work for sickle cell anemia? - ✔✔Increases fetal hgb in children,
|| || || || || || || || || || || || || ||
decreased number of circulating lymphocytes, decreases pain with crisis
|| || || || || || || ||
What are the adverse reactions associated with hydroxyurea used for sickle cell disease? -
|| || || || || || || || || || || || || ||
✔✔Thrombocytopenia
Leukopenia
What are nursing roles while using hydroxyurea for sickle cell anemia? - ✔✔Monitor CBC,
|| || || || || || || || || || || || || ||
fevers, do not crush/open, avoid handling, use caution, drink plenty of fluids, avoid
|| || || || || || || || || || || || ||
pregnancy
What action does morphine have with sickle cell anemia crisis? - ✔✔Drug of choice.
|| || || || || || || || || || || || || ||
Relieves pain, dosing individualized, generally given IV during crisis
|| || || || || || || ||
What side effects does morphine have while using for sickle cell anemia crisis? -
|| || || || || || || || || || || || || ||
✔✔Sedation, respiratory depression, constipation, urinary retention || || || || ||
What are the supportive therapies used for sickle cell anemia? - ✔✔Blood transfusions,
|| || || || || || || || || || || || ||
oxygen, hydration, rest, nutrition
|| || ||
What nursing management/assessment is used for sickle cell anemia? - ✔✔Assess prior
|| || || || || || || || || || || ||
treatment, precipitating factors, assess all body systems (joints, pain, swelling, lung sounds,
|| || || || || || || || || || || ||
o2 says, edema, circulation, LOC, leg ulcers, skin turgid), monitor s/s infection, I&O for
|| || || || || || || || || || || || || ||
dehydration
Nur 211 exam 3 with verified detailed answers
|| || || || || || ||
Sickle cell anemia predisposition - ✔✔African american
|| || || || || ||
Central africa ||
The near east
|| ||
Mesiterranean
Aboriginals
Hispanics (caribbean, central and south america)
|| || || || ||
Sickle cell anemia clinical manifestations - ✔✔Fatigue
|| || || || || ||
Weakness
Pain
Swelling
Tachycardia
Murmur ||
Enlargement of bones in face and skull || || || || || ||
Sickle cell how to diagnosis - ✔✔CBC - low hematocrit
|| || || || || || || || || ||
Hgb electrophoresis
||
What is sickle cell acute Vaso-occlusive crisis? - ✔✔Very painful, rbc and WBC entrapment
|| || || || || || || || || || || || || ||
causing tissue hypoxia, inflammation, and necrosis due to inadequate blood flow
|| || || || || || || || || ||
What is sickle cell aplastic crisis? - ✔✔Due to parvovirus, rapid fall in HgB were bone
|| || || || || || || || || || || || || || || ||
marrow cannot compensate || ||
,2
What is sickle cell sequestration crisis? - ✔✔Other organs (specifically spleen) affected by
|| || || || || || || || || || || || ||
pooling of sickle cells
|| || ||
What triggers a sickle cell crisis? - ✔✔Illness
|| || || || || || ||
Stress
Alcohol
Dehydration ||
Cold weather
||
High altitude
||
Complications of sickle cell anemia - ✔✔Anemia, Pulmonary hypertension, Acute chest
|| || || || || || || || || || ||
syndrome, heart/renal failure, CVA/Stroke, infection, leg ulcers, eye damage, substance
|| || || || || || || || || ||
abuse
How do you treat sickle cell anemia? - ✔✔Management of symptoms, therapies (rx,
|| || || || || || || || || || || || ||
procedural, supportive) ||
What are procedural therapies to treat sickle cell anemia? - ✔✔Hematopoietic stem cell
|| || || || || || || || || || || || ||
transplantation, transcranial doppler studies || || ||
What RX therapy is used to treat sickle cell anemia? - ✔✔Hydroxyurea
|| || || || || || || || || || ||
Nsaids
Morphine
Opioids
Antibiotics (pcn) ||
Corticosteroids
, 2
What class of drugs is hydroxyurea to treat sickle cell anemia - ✔✔Antineoplastic
|| || || || || || || || || || || ||
What is the typical dose for sickle cell patients using hydroxyurea? - ✔✔15-35mg/kg/day
|| || || || || || || || || || || ||
How does hydroxyurea work for sickle cell anemia? - ✔✔Increases fetal hgb in children,
|| || || || || || || || || || || || || ||
decreased number of circulating lymphocytes, decreases pain with crisis
|| || || || || || || ||
What are the adverse reactions associated with hydroxyurea used for sickle cell disease? -
|| || || || || || || || || || || || || ||
✔✔Thrombocytopenia
Leukopenia
What are nursing roles while using hydroxyurea for sickle cell anemia? - ✔✔Monitor CBC,
|| || || || || || || || || || || || || ||
fevers, do not crush/open, avoid handling, use caution, drink plenty of fluids, avoid
|| || || || || || || || || || || || ||
pregnancy
What action does morphine have with sickle cell anemia crisis? - ✔✔Drug of choice.
|| || || || || || || || || || || || || ||
Relieves pain, dosing individualized, generally given IV during crisis
|| || || || || || || ||
What side effects does morphine have while using for sickle cell anemia crisis? -
|| || || || || || || || || || || || || ||
✔✔Sedation, respiratory depression, constipation, urinary retention || || || || ||
What are the supportive therapies used for sickle cell anemia? - ✔✔Blood transfusions,
|| || || || || || || || || || || || ||
oxygen, hydration, rest, nutrition
|| || ||
What nursing management/assessment is used for sickle cell anemia? - ✔✔Assess prior
|| || || || || || || || || || || ||
treatment, precipitating factors, assess all body systems (joints, pain, swelling, lung sounds,
|| || || || || || || || || || || ||
o2 says, edema, circulation, LOC, leg ulcers, skin turgid), monitor s/s infection, I&O for
|| || || || || || || || || || || || || ||
dehydration
