NR 324
NR324 EXAM 2: LATEST
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1. Heparin Antidote: Protamine Sulfate
2. Heparin Nursing Management: ASSESS PTT
-Assess Hgb/Hct
-Assess stools for occult blood
-Avoid IM injections
3. Warfarin (Coumadin) Antidote: Vitamin K
4. Warfarin (Coumadin) Nursing Management: ASSESS
PT/INR
-Same as Heparin
-Given Orally
-Avoid sudden change in intake of foods high in Vit K
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5. What to red blood cells deal with: hemoglobin and
hematocrit
6. White blood cells help: fight off infection
7. Platelets are connected to: clotting
*the more platelets the more at risk for clotting*
8. bone marrow is inside: long bone
9. Hematopoiesis: Blood cell production
Occurs in the bone marrow (RBC, WBC, and platelets)
10. What is Leukopenia: low WBC
11. What is Neutropenia: low neutrophils
12. What is thrombocytopenia: low platelets
13. What is anemia: low red blood cells
14. Red blood cells: helps to carry oxygen throughout the body
15. Hematocrit: the proportion of red blood cells in the body
16. Two major components of blood: Plasma and blood cells
17. Blood cells: Erythrocytes- RBC (O2)
Leukocytes- WBC (protect from bacteria)
Thrombocytes- Platelets (promote coagulation)
18. Normal WBC level: between 5-10 or 5000-10000
19. Normal Platelet level: 150-400 or 150,000-400,000
20. Normal RBC level: 4-5.5
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21. Normal hemoglobin (hgb) level: 12.0-16.5
22. Normal hematocrit (hct) level: 36-50
23. Serum osmolality normal range: 275-295
24. Serum Osmolality: The higher the osmolality the more
solutes or the client would be in a more hypovolemic state
The lower the osmolality the less solutes or more diluted the
blood which lead to the client being in a hypervolemic state
25. Foods that increase clotting: foods that have vitamin K -
Kale, cabbage, spinach
26. Foods that decrease clotting: Ginko, ginger, garlic, fish oil,
omega 3-these can cause bleeding, camel meal
27. Petechiae: •pin point bleeding under the skin
28. Ecchymosis: bruising
29. Bleeding Precautions: (RANDI)
Razor electric
Aspirin-NO
Needles-small gauge
Decrease needle sticks
Injury-protect from
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30. Nursing Diagnosis' for Hematology: •Decreased tissue
perfusion
•Decrease cardiac output
•Risk for infection
•Risk for bleeding
31. CBC: •complete blood count (RBC, WBC, platelets,
hematocrit)
32. Iron Studies: •measures the amount of iron carried in the
blood and stored 33. Reticulocyte Count: •how fast RBC are
made in the bone marrow and released into the blood
34. Clotting Studies: •measures your bodies ability to clot and
the time it takes to clot
35. Indications for a CBC: Determine general health status
Screen for, diagnose, or monitor diseases and conditions that
affect blood cells
36. Diseases that affect blood cells: Anemia
Bleeding disorder
Cancer
Infection/inflammation
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