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EXAM 2 STUDY GUIDE HEMATOLOGIC DISORDERS: 7-10 questions

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HEMATOLOGIC DISORDERS: 7-10 questions  Identify general nursing strategies associated with altered anemia  Describe the morphology, pathophysiology, clinical manifestations, therapeutic manag ... ement and nursing considerations of the following anemias: o ***Laboratory norms: 6-12 years of age  Hemoglobin:  11.5-15.5 g/dl  Hematocrit:  35-45%  MCV (mean corpuscular volume)  77-95 fL  Measure of average size of RBC  ↓ in microcytic; ↑ in macrocytic  MCHC (mean corpuscular Hgb concentration)  31–37 g/dl  Reflection of Hgb concentration  Refer to color; in hypo-, values are ↓  MCH (mean corpuscular Hgb)  25–33 pg/cell  Reflection of Hgb concentration  Refer to color; in hypo-, values are ↓ o Anemia  Condition where the hemoglobin content of the blood is insufficient to satisfy bodily needs  Causes:  Blood loss  Accelerated hemolysis  Decreased production  Typical Clinical Manifestations:  Fatigue  Dizziness  Weakness  Pallor  ↑ heart rate  ↑ breathing rate o Types:  Iron-deficiency anemia—MOST COMMON IN PEDS  Nutritional anemia  Microcytic-hypochromic—small, pale RBC  Who’s at risk? o Varied o Premature babies at ↑ risk b/c they don’t get that blood rush the mom gives the baby late in that 3rd trimester, b/c premies are born early—this is why premature infants need the iron supplements at 2-3 months, whereas term babies don’t need it until 4-6 [Show More]

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