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Hematologic and Immunologic Disorders 3
Hematologic and Immunologic Disorders 3
37
Nursing
Undergraduate 2
02/21/2012

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Cards

Term
An increase in WBC's?
Definition
Leukocytosis
Term
Abnormally low WBC's?
Definition
Leukopenia (Neutropenia)
Term
Leukocytosis and Leukopenia pt's are at risk for what?
Definition
Infections
Term
Causes of Leukopenia?
Definition
- chemotherapy
- radiation therapy
- certain drugs
- immune reaction
Term
S/S of Leukopenia?
Definition
- classic signs of infection may be absent: fever may be the only sign
Term
A pt with Leukopenia should be in what type of room?
Definition
Reverse Isolation
Term
What kind of foods some a pt with Leukopenia eat and what common hospital item can they not have?
Definition
Completely cooked foods
flowers
Term
If a pt with Leukopenia has to leave the room, what must they wear?
Definition
a mask
Term
Cancer of WBC's: bone marrow produces too many immature WBC's?
Definition
Leukemia
Term
If a pt has Leukemia what other bone marrow productions are they lacking?
Definition
- RBC's
- Platelets
Term
Causes of Leukemia?
Definition
- Radiation
- Chemicals
- Genetic Abnormalities
Term
What is acute Leukemia?
Definition
WBC's increase rapidly
Term
What is chronic Leukemia?
Definition
WBC's increase over months or years
Term
What are two types of acute Leukemia?
Definition
Lymphocyctic: seen mostly in children
Myelogenous: mostly seen in adults
Term
S/S of Leukemia?
Definition
- Recurrent infections
- fever
- night sweats
- S/S of low RBC's (anemia)
- S/S of low platelets (bleeding)
- Bone pain
- Weight loss
- Swollen lymph nodes
- Extremely high WBC's
Term
Treatment for acute Leukemia?
Definition
- High doses of chemo
- Bone marrow transplant
Term
Treatment for chronic Leukemia?
Definition
Oral chemotherapy daily
Term
Interventions for Leukemia?
Definition
- Assess for infection
- VS
- Lung Sounds
- Cough
- Skin
- Oral membranes: Stomostitis: swelling in mouth and sores
- Assess for bleeding
- Side effects of Chemo
Term
Not enough platelets?
Definition
Thrombocytopenia
Term
Thrombocytopenia pt's are at high risk for?
Definition
Bleeding
Term
S/S of Thrombocytopenia?
Definition
- Petechia : small purple or red spots
- Purpura: large form of petechia
- Gum bleeding
- Nose bleeds
Term
Treatment for Thrombocytopenia?
Definition
platelet transfusion
Term
Interventions for Thrombocytopenia?
Definition
- Do not give aspirin or plavix (blood thinners)
- No rectal procedures
- Avoid IM injections
Term
This happens when coagulation occurs at so many sites in the body that all clotting factors are used up and hemorrhage occurs?
Definition
Disseminated Intravascular Coagulation (DIC)
Term
Treatment for DIC?
Definition
- plasma
- platelets
- RBC's
Term
When 1 or more clotting factors is missing causing prolong bleeding time?
Definition
Hemophilia
Term
What is the most common Hemophilia?
Definition
Hemophilia A
- appears only in men
- carried by females
Term
S/S of hemophilia
Definition
Bleeding that can't be stopped
Term
Treatment of hemophilia?
Definition
- Fresh whole blood transfusions (plasma)
- Injection of missing clotting factors
Term
Interventions for Hemophilia pt's?
Definition
- avoid IM injections
- cold pressure to decrease bleeding
- pain control
- prevent injury
- notify dentist/doctors of diease
Term
An autoimmune disorder where a person's immune systems looses ability to recognize self and mounts and immune response against itself?
Definition
Systemic Lupus Erythrmatosus
Term
S/S of Lupus?
Definition
- Fatigue
- Malaise
- Fever
- Anorexia
- Nausea
- Weight Loss
- Joint Pain
- Muscle Pain
- Rash: butterfly looking across nose and check
- Photosensitivity
Term
Treatment for Lupus?
Definition
- treat Sx
- Corticosteroids: change immune system
- Cytotoxic agents: suppress immune system (last resort)
Term
How is AIDS diagnosised?
Definition
Someone who has HIV and has an AIDS defining illness
- TB
- Pneumonia
- Cancers
- Herpes
Term
Treatment of HIV?
Definition
- antiviral drugs
Term
S/S of HIV?
Definition
- Flu Sx
- Fever
- Rash
- Fatigue
- Sore throat
- Body Aches
- Swollen lymph nodes
- Frequent infections
- Night sweats
- Weight loss
- Malnutrition
- Anorexia
- N/V/ Diarrhea
Term
Interventions for HIV?
Definition
- Assess for infection
- Oral hygiene
- Nutrition
- Mental status
- Pain control
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