Care Plan. 745769 Essay Example | Topics and Well Written Essays - 750 words

Care Plan. 745769 - evidence ExampleSpecifically, limitation of tissue oxygenation directly collect to a sluggish blood flow is the major(ip) pathophysiologic feature of sickle cell anemia. End- organ damage may result when tissue hypoxia is prolonged, which then toilet lead to death (Smeltzer & Bare, 2006, p. 886). II. Clinical Manifestations (Signs & Symptoms) Severity of the clinical manifestations depends largely on the proportion of RBCs that have sickled. That is, when much cells are sickled, the chances of thrombosis also increase, thus ca apply decreased oxygen supply to tissues and organs. Pain is one of the or so common manifestations as hypoxic tissues generate lactic acid that easily irritates nerve endings and other pain receptors. When the amount of money tissue is involved, acute chest pain manifests and more commonly associated with tachycardia, fever, falling hemoglobin levels, and sometimes bilaterally symmetric infiltrates seen on the chest x-ray. Since thes e cells have relatively shortened life- span, simultaneous hemolysis raises blood bilirubin level up to toxic levels. This is manifested as jaundice. Complications result from chronic hemolysis or thrombosis (Smeltzer & Bare, 2006, p. 887). III. ... On the other hand, chemotherapy using hydroxyurea increases hemoglobin F levels in affected patient ofs, therefore reducing the formation of sickle cells. Still, there has been no evidence yet if the drug reverses organ damage. Lastly, chronic RBC transfusion is particularly helpful in acute exacerbations of the condition causing severe anemia and infections. However, the patient may also develop complications due to iron overload and thrombosis (Smeltzer & Bare, 2006, p. 888). Nursing interventions are focused on providing continuous pain relief by prompt administration of pain medications prescribed by the physician and helping the client relax and shrivel anxiety. Prevention of infection by maintaining a therapeutic environment and using aseptic technique in nursing procedures performed must be an integral part of the care plan. IV. Diagnostic Studies/Lab analysis cable tests reveal the presence of sickle RBCs. WBC Count- 9x103/mm3 (N 3.54-9.06 x103/mm3). Hemoglobin level is 7 mg/ dl (N- 13- 16 mg/dl) which implies anemia and decreased tissue oxygenation, thus, necessitating blood transfusion. Discharge Planning and Client Teaching affect medications as prescribed by physician. Determine learning needs and educate as necessary in particular the common triggers of an exacerbation. Inform S.B. and his mother about his increased risk of acquiring infection and provide directions to maintain it. Caution about severe chest pain and other signs of exacerbations that warrant immediate hospitalization. NURS 401 NURSING attention PLAN Growth and Development According to Erickson Stage 6 Crisis Intimacy vs. isolation (Videbect, 2007, p. 53) I. Describe your patients ability to achieve