Screening 2

Question 1

What are the 3 types of erythrocytes disorders we talked about (broad)?

Answer 1

• anemia
• polycythemia
• sickle cell anemia

Question 2

What type of disorder is anemia?

Answer 2

• NOT a disease

- sx of different blood disorders

Question 3

Anemia is a reduction in

Answer 3

Oxygen-carrying capacity of blood

Question 4

What does reduction in oxygen-carrying capacity of blood come from?

Answer 4

Abnormality in quantity or quality of erythrocytes

Question 5

Where do we often see too few erythrocytes?

Answer 5

• iron deficiency, chronic GI blood loss due to NSAIDs
• chronic diseases
• inflammatory diseases
• neuro diseases
• infectious diseases
• neoplasticism diseases

Question 6

What chronic diseases do we often see too few erythrocytes in?

Answer 6

• cancer
• kidney
• liver

Question 7

Which inflammatory diseases do we see too few erythrocytes in?

Answer 7

• RA

- SLE

Question 8

What neuro dz do we see too few erythrocytes in?

Answer 8

Pernicious anemia

Question 9

What infectious dz do we see too few erythrocytes in?

Answer 9

• TB

- AIDS

Question 10

What types of s/s will be seen with anemia?

Answer 10

• skin changes
• fatigue and listlessness
• dyspnea on exertion
• chest pain with minimal exertion
• decreased diastolic BP
• CNS manifestations (pernicious anemia)

Question 11

With anemia, dyspnea with exertion will be accompanied with this in more severe cases

Answer 11

Heart palpitations

Question 12

Skin changes often seen with anemia

Answer 12

• pallor

- jaundice

Question 13

Anemia: highly variable sx depending on

Answer 13

Rate of developing anemia

Question 14

Anemia: look for this with skin and fingernails

Answer 14

• look for pale palms with normal colored creases
• observe hands at level of client’s heart
• hands should be warm

Question 15

Anemia: If hands are not warm, what is paleness likely due to?

Answer 15

Vasoconstriction

Question 16

Anemia: pallor assessed in dark-skinned pts

Answer 16

Seen via absence of underlying red tones

Question 17

Assessing for anemia: exercise tolerance

Answer 17

Diminished

Question 18

Anemia will decrease exercise tolerance and may impair _________

Answer 18

Oxygenation

Question 19

Exercise and anemia: older adults should be monitored for:

Answer 19

• circulation issues

- changes in cognitive function with exercise

Question 20

Older adults and anemia: sedentary lifestyle may actually be a result of

Answer 20

Self-imposed changes to accommodate diminished oxygenation or anemia

Question 21

As anemia becomes severe, may see an increase in cardiac output and decrease in exercise tolerance, resulting in:

Answer 21

• dyspnea
• tachycardia
• palpitations

Question 22

Young females and anemia

Answer 22

• Young, female athletes at increased risk for anemia and iron deficiency
• may also have inadequate dietary intake

Question 23

CRF

Answer 23

Chronic renal failure

Question 24

What precautions should be taken with pts who have chronic renal failure?

Answer 24

• should exercise at lower intensities

- VO2 max is about 20% lower than normal

Question 25

Pts with anemia and cardiovascular disease at a higher risk for

Answer 25

Angina

Question 26

Anemia impairs

Answer 26

Wound healing