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exam 3

anemia pt2

what is caused by heredity, predominantly afro American, several kinds, must get HBS gene from each parent to form HBSS, occurs when RBC turns into a sickle shape? sickle cell anemia
what is triggered by hypoxia from infection mostly, stress, surgery, blood loss, dehydration, low body temp, acidosis? sickle cell anemia
what is a severe, painful, acute exacerbation of sickling, vaso-occlusive crisis, vasospasm, changes in membrane permeability, results in tissue ischemia, infarction and necrosis because of lack of o2 to tissues? sickle cell crisis
what can be complicated by infection, acute chest syndrome, pulmonary HTN, cardiomyopathy, MI, HF, retinal damage/ blindness, renal failure, osteoporosis, chronic leg ulcers, priapism? sickle cell anemia
what disorder is clinically manifested as when not in crisis: anemia, pallor, possible chronic pain. When in crisis: tachypnea, hypertension, nausea, vomiting, fever, edema (extremities) sickle cell anemia
what are some nursing diagnosis for sickle cell anemia? acute pain, risk for infection, impaired gas exchange, risk for powerlessness, deficient knowledge
these are all plans and goals for the pt with what? manage pain, prevent and end organ damage, prevent manage infection, promote coping skills, education? sickle cell anemia
these are all interventions for the patient with what disorder? hospitalization, oxygenation, pain mangagement, iv hydration, thorough respiratory assessment, DVT prophylaxis, broad spectrum antibiotic, rest? sickle cell anemia
theses are interventions for a patient with what disorder? education, avoid dehydration, high altitudes, seek medical attention for early signs of infection, genetic counseling, meds, prophylactic PCN, Hydroxyurea, hematopoietic stem cell transplant sickle cell non crisis
most decline in HB in men 70-88 minimal dec in women that age, this is usually due to dietary insufficiency, chronic inflammation, chronic disease, MAY BE MISTAKEN FOR CHANGES OF AGING AND OVERLOOKED anemia in the elder
Created by: malcolmnursing2