ATI COMPREHENSIVE PREDICTOR STUDY GUIDE WITH COMPLETE SOLUTIONS

ATI COMPREHENSIVE PREDICTOR STUDY GUIDE WITH COMPLETE SOLUTIONS platelets - ANSWER-150,000-4000,000 increased platelets - ANSWER-malignancy or polycythemia vera decreased platelets - ANSWER-autoimmune disease bone marrow suppression or enlarged spleen Hbg - ANSWER-females 12-16 males 14-18 decrease Hgb and Hct - ANSWER-anemia Hct - ANSWER-females 37%-47% males 42-52% anemia in children S & SX: - ANSWER-pallor, brittle spoon shaped nails irritability, muscle weakness systolic heart murmur, enlarged heart, HF iron supplements - ANSWER-give 1 hr before or 2 hr after antacid to prevent malabsorpt N/D and constipation common at start of therapy RBC - ANSWER-females 4.2-5.4 million males 4.7-6.1 million decrease RBC - ANSWER-anemia WBC - ANSWER-5,000-10,000 elevated WBC - ANSWER-infection decreased WBC - ANSWER-immunosuppression Iron - ANSWER-females 60-160 mcg males 80-180 elevated iron - ANSWER-hemochromatosis, iron excess liver disorder, magaloblastic anemia decreased iron - ANSWER-anemia or hemorrhage use straw for liquid iron to prevent staining of teeth aPTT - ANSWER-1.5-2X control range of 30-40 seconds test clotting factors and monitor heparin therapy increased aPTT - ANSWER-hemophilia disseminated intravascular coagulation DIC liver disease PT - ANSWER-11-12.5 seconds, 85-100% increased PT time - ANSWER-evidence of deficiency or clotting decreaed PT time - ANSWER-evidence of vit K excess= bleed out acute hemolytic blood transfusion reactions - ANSWER-**low back pain, TACHYcardia, HYPOtension febrile reactions - ANSWER-30 min-6 hr after transfusion -chills, fever, flushing, headache use WBC filter, administer antipyretics mild allergic reactions - ANSWER-during or up to 24hr after transfusion - itching, urticarial, flushing administer benadryl anaphylactic shock - ANSWER-wheezing, dyspnea, cyanosis, hypotension maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor fluid overload - ANSWER-HYPERtension, jugular vein distention, peripheral edema orthopnea, crackles at base of lungs sudden anxiety sepsis and septic shock - ANSWER--fever, N/V, abdominal pain, chills HYPOtension administer antibiotics, blood cultures, vasopressor (dopamine) if disseminated intravascular coagulation (DIC) - ANSWER-admin heparin in early stage -blood products and clotting factors in late stage PICA - ANSWER-eating things like soil, chalk, for at least 1 month parenteral iron - ANSWER-given Z track erythropoietin - epoetin alfa (epogen, Procrit) - ANSWER-used to increased production of RBC monitor increase in BP, Hgb, Hct folic acid - ANSWER-turn urine dark yellow necessary for new RBC hypovolemia causes - ANSWER-peritonitis, ascites, burns , NPO causes of dehydration - ANSWER-hyperventilation DKA