NUR 2502 Multidimensional Care III

Multidimensional III Final Exam

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What is the difference between non-Hodgkin’s and Hodgkin’s?

- Non-Hodgkin lymphoma may arise in lymph nodes anywhere in the body,

whereas Hodgkin lymphoma typically begins in the upper body, such as the

neck, chest or armpits.

S/s of lymphoma

- painless swelling in one or more lymph nodes

Pt education for lymphoma

- Infection control

What is thrombocytopenia?

- Low platelet count

What is the normal platelet count range?

- Platelet count should be 150,000-400,000

Platelet transfusion reaction s/s

- Fever, chills, urticaria (hives), and itching 

Treatment for thrombocytopenia

- Platelet transfusion

- Monitor for infusion reaction

- IV fluids

- Pack of rbcs

Pt education for thrombocytopenia

- Be careful with trauma--if they have an injury apply pressure, ice your

injury--this will decrease blood flow(vasoconstriction)

Educate patients that we do not want them to get hurt and bleeding

precautions.

S/s of hemophilia

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- Abnormal or excessive bleeding from minor cuts, bruises, scrapes

- Easy bruising

- Prolonged hemorrhage

- There is bleeding into the joints and muscles

What is the point that Amanda emphasized about hemophilia?

- There is bleeding into the joints and muscles

- Joint and muscle hemorrhage that can require replacement after long-term

damage

- Joints are more painful/swollen/warm with decreased movement

Treatment for hemophilia

- Replace clotting factors- fresh frozen plasma 

A fib s/s

- Palpitations

- Increased hr

- Hypotension

- Syncope

- Dizziness

- Sob

- Weakness

- Chest pain/ discomfort

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A fib nursing intervention

- Cardiac monitor

- Restore them to sinus rhythm

- Want to get then out of afib

- You can throw a clot/ MI when in afib

Treatment for afib

- Use Catrizam - used to drop hr intro rhythm

What is superventriculartachycardia

- HR higher than 160

What are nursing interventions for superventriculartachycardia

- Before we can get meds on board, tell them to bear down to get HR down -

Go poop (vago man)

What does the nurse need to do when their pt is having a STEMI?

- High risk of coding, place defib pads on and have a code cart nearby.

What is Thrombotic Thrombocytopenia Purpura

- Think platelets are clumping together on the vessels 

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