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Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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
Transcribed Image Text:14- The clinic nurse instructs parents of a child with sickle cell anemia about the
precipitating factors related to sickle cell crisis. Which, if identified by the parents as
a precipitating factor, indicates the need for further instruction?
1.Stress
2.Trauma
3. Infection
4.Fluid overload
15-A 10-year-old child with hemophilia A has slipped on the ice and bumped his
knee. The nurse should prepare to administer which prescription?
1.Injection of factor X
2.Intravenous infusion of iron
3. Intravenous infusion of factor VIII
4.Intramuscular injection of iron using the Z-track method
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- b. What is her CrCl? 4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new…arrow_forward49- Which of the following health teachings regarding sickle cell crisis should be included by the nurse! A. it results from altered metabolism and dehydration B. tissue hypoxia and vascular occlusion cause the primary problems C. increased bilirubin levels will cause hypertension D. there are decreased clotting factors with an increase in white blood cells 50- Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease! A. Susceptibility to respiratory infection B. Bleeding tendencies C. Frequent vomiting and diarrhea D. Seizure disorderarrow_forwardTeaching plan 1. Definition of hypertension 2. How to take blood pressure 3. Risk factors to develop developing hypertension 4. How to prevent high BP non- pharmacologically 5. Drugs that regulate blood pressure. 6. DASH diet.arrow_forward
- 2. Prepare a chart listing the causes, symptoms, and nursing considerations for the following heart disorders: Thrombophlebitis Buerger disease 3. Devise a teaching plan for a client newly diagnosed with heart block.arrow_forward10:43 Developing Critical Thinking Through Understanding Pathophysiology Primary problem (medical diagnosis) of patient:__ 1. Define and describe in your OWN WORDS, the pathophysiology of the primary problem of your patient: 2. How would you explain and teach your patient about the pathophysiology of this medical problem using non-medical terminology? 5G UC ll 78% 3. What body system(s) are directly impacted by this disease and how are those systems affected? BODY SYSTEM(S): HOW BODY SYSTEM IS AFFECTED(S): 4. PRIORITY nursing assessments with this disease? (refer to body system that is most affected). What assessment findings may be abnormal as a result of this illness? PRIORITY ASSESSMENTS: EXPECTED ABNORMAL ASSESSMENTS: 5. What lab tests are altered by this problem? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? ABNL. LAB TESTS: HOW LAB TESTS AFFECTED: DOES IT IMPACT SESSMENTS? 6. What medications are most commonly used to manage…arrow_forward16- Need help with followingarrow_forward
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