NURS352 Lecture Notes - Lecture 9: Bone Marrow Examination, Aplastic Anemia, Neutropenia
3 Jun 2019
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Administer hematopoietic growth factors; teach family: anemia, decreased ability of blood to carry o2 to tissues, due to. Acute blood loss - like from surgery; trauma, surgery, postpartum. Sickle cell disease - spleen destroys faulty sickled rbcs; get enlarged spleen. Hemolytic reactions - blood transfusion (these are type 2 hypersensitivity reactions); hemolytic disease of newborn (why we give them rhogam) Iron replacement - takes about 3-4 weeks to see an increase in hgb. Tell them to eat more red meat and beets. Look at history and evidence of blood loss. Orthostatic hypotension - hr goes up and bp drops when you stand. H&h may not reflect severity of the anemia if plasma has not been replaced even though you"re losing blood. Etiology - acute blood loss from trauma, surgery, postpartum, etc. ; s/s - changes in vs (high hr, low bp), orthostatic hypotension, increased reticulocyte count. Etiology - frequently gi bleeding (esophageal varices), menstrual bleeding.
