What does the nurse note on assessment for sickle cell anemia?
On assessment, the nurse notes that the patient’s face and skull bones are enlarged. She knows this is a compensatory response to: A. Dehydration. B. Anemia. D. Jaundice. 1. Answer: D. Between 7 and 10 g/dl. A patient with sickle cell anemia has a hemoglobin level of between 7 and 10 g/dl.
Which lab results are characteristic of sickle cell anemia (SCA)?
The patient with sickle cell anemia usually has the following laboratory results: CBC: Reticulocytosis (count may vary from 30%–50%); leukocytosis (especially in vaso-occlusive crisis), with counts over 20,000 indicate infection, decreased Hb (5–10 g/dL) and total RBCs, elevated platelets, and a normal to elevated MCV.
What is the most important nursing action in sickle cell crisis?
A client with sickle cell anemia is admitted with severe abdominal pain and the diagnosis is sickle cell crisis. What is the most important nursing action to implement? A) Limit the client's intake of oral fluids and food.
What is the major nursing diagnosis for sickle cell disease (SCD)?
Based on the assessment data, major nursing diagnosis for the patient include: Acute pain related to tissue hypoxia due to agglutination of sickled cells within blood vessels. Risk for infection. Risk for powerlessness related to illness-induced helplessness.
What do nurses do with sickle cell patients?
Nurses in outpatient facilities or home care nurses may need to provide follow-up care for patients with vascular access devices. Communication. All health care providers who provide services to patients with sickle cell disease and their families need to communicate regularly with each other.
What is sickle cell anemia?
Sickle cell anemia is a severe hemolytic anemia that results from inheritance of the sickle hemoglobin gene.
What is the hemoglobin level of sickle cell anemia?
A patient with sickle cell anemia has a hemoglobin level of between 7 and 10 g/dl.
Why do sickle cells get sick?
Causes. The causes of sickle cell anemia include: Cold temperature. Cold can aggravate the sickling process, because vasoconstriction slows the blood flow. Tissue hypoxia. Tissue hypoxia and necrosis causes a type of sickle cell crisis called the sickle crisis. Human parvovirus.
What are the complications of sickle cell anemia?
Complications of sickle cell anemia include: Infection. Patients with sickle cell anemia are unusually susceptible to infection, particularly pneumonia and osteomyelitis. Stroke. Due to the decrease in oxygen supply because of the sickling, stroke may occur. Renal failure.
How to prevent sickle cell crisis?
Teach patient about situations that can precipitate a sickle cell crisis and steps to take to prevent or diminish such crises (eg, keep warm, maintain adequate hydration, avoid stressful situations).
What is the CBC count for reticulocytosis?
CBC: Reticulocytosis (count may vary from 30%–50%); leukocytosis (especially in vaso-occlusive crisis), with counts over 20,000 indicate infection, decreased Hb (5–10 g/dL) and total RBCs, elevated platelets, and a normal to elevated MCV.
What is the treatment for sickle cell anemia?
Sickle cell anemia requires treatment and follow-up by a multiprofessional team. A current therapeutic option is hydroxyurea. This drug reduces complications and improves laboratorial parameters of patients. In this study, the use of the drug increased the hemoglobin and hematocrit levels of patients.
How were clinical and laboratorial data obtained?
Clinical and laboratorial data were obtained by analyzing medical records of patients with sickle cell anemia.
How old are sickle cell patients in Brazil?
Similar findings were reported in other studies from Brazil; the majority of cases were women and were aged between 18 and 30 years.14One study conducted in Paraná showed a predominance of females with a gender ratio of 2:1 in children with SCA.15In a national study of patients with sickle cell disease, the average age at diagnosis was 8.4 years.14In this study, the median age at diagnosis was one year, which meets the current national expectations set by the National Program of Neonatal Screening by the Brazilian Health Ministry in 2001.
What are the hematological variables in Table 2?
The descriptive analysis of hematological variables is shown in Table 2. The hematocrit, total hemoglobin, fetal hemoglobin, ferritin and lactate dehydrogenase values are adjusted taking into account the reference values for both gender and age group (Table 2).
Who approved the study of the Hemominas Foundation?
This study was approved by the Research Ethics Committee of the Universidade Federal de São João Del Rei , Campus Centro Oeste Dona Lindu (# 477.473) and by the Research Ethics Committee of the Hemominas Foundation (# 506.674).
What is the hemoglobin level of a female client?
An adult female client has a hemoglobin level of 10.8 g/dL (108 mmol/L). The nurse interprets that this result is most likely caused by which condition noted in the client's history?
What is the WBC count for carbamazepine?
A client with trigeminal neuralgia who is receiving carbamazepine 400 mg orally daily has a white blood cell (WBC) count of 2800 mm3 (28 × 109/L), blood urea nitrogen (BUN) of 17 mg/dL (6.12 mmol/L), sodium of 141 mEq/L (141 mmol/L), and uric acid of 5 mg/dL (0.3 mmol/L). On the basis of these laboratory values, the nurse should make which interpretation?
What does low WBC mean?
The WBC count is low, indicating a blood dyscrasia.
What does a nurse do in the respiratory care unit?
The nurse in the respiratory care unit completes a lung assessment and reviews the laboratory results of a serum medication level assay for a client receiving theophylline . The nurse determines that a therapeutic medication level has been achieved by indication of which value?
How many chances of sickle cell anemia in pregnancy?
This explains the etiology in terms that a layperson could understand. When both parents are carriers of the disease, each pregnancy has a 25% chance of producing a child who has sickle cell anemia.
What is the first sign of bacteremia?
The elevated temperature is the first sign of bacteremia. Bacteremia leads to a sickle cell crisis. Therefore, the bacteria must be identified so the appropriate antibiotics can be prescribed to treat the infection. Blood cultures assist in determining the type and source of infection so that it can be treated appropriately.
Does intravenous fluid help with sickling?
Increased intravenous fluid reduces the viscosity of blood, thereby preventing further sickling as a result of dehydration.
Why is pain control important in acute pancreatitis?
ANS: A. Pain control is a nursing priority in patients with acute pancreatitis not only because the disorder produces extreme patient discomfort but also because pain increases the patients metabolism and thus increases pancreatic secretions.
Can antileukemic drugs induce remission?
A combination of several antileukemic drugs in high doses has been found to induce a remission.
Does AML go into remission?
d.The side effects of the chemotherapy are difficult, but AML frequently does go into remission with chemotherapy.
What Is Sickle Cell Anemia?
Pathophysiology
Causes
Clinical Manifestations
Complications
Assessment and Diagnostic Findings
- The patient with sickle cell anemia usually has the following laboratory results: 1. CBC:Reticulocytosis (count may vary from 30%–50%); leukocytosis (especially in vaso-occlusive crisis), with counts over 20,000 indicate infection, decreased Hb (5–10 g/dL) and total RBCs, elevated platelets, and a normal to elevated MCV. 2. Stained RBC examination:...
Medical Management
Practice Quiz: Sickle Cell Anemia
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