University:
Stevenson University
Course:
NURS 460 | Medical/Surgical Nursing II
Academic year:

2020
Views:

107

Pages:

1
Author:

Marilyn James

ACTIVE LEARNING TEMPLATE: System Disorder Sickle Cell Anemia CH.21 DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Sickle cell disease is a group of diseases in which abnormal sickle hemoglobin S replaces normal adult hemoglobin Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Homozygous and most common form of sickle cell disease Maintain up to date immunizations ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings -Family history of sickle cell anemia or sickle cell trait -Reports of pain -Shortness of breath, fatigue -Pallor, pale mucous membranes -Jaundice -Hands and feet cool to touch -Dizziness -Headache -SCD is an autosomal recessive genetic disorder -affects African American Laboratory Tests Diagnostic Procedures -CBC -Sickle-turbidity -Hemoglobin Electrophoresis -Transcranial Doppler PATIENT-CENTERED CARE Nursing Care -Promote rest -Administer oxygen as prescribed -Provide intense hydration therapy while maintaining fluid and electrolyte balance -Observe fir manifestations of hypervolemia and transfusion reaction -Monitor and report lab results Therapeutic Procedures -Exchange transfusions -Hematopoietic stem cell transplant -Pain management -Seizures -Abnormal behavior -Slurred speech -Visual changes -Vomiting -Severe headache Complications Medications -opioids Codeine Morphine Oxycodone Hydromorphone Methadone Client Education -Avoid activities that require mental alertness -Analgesics can be necessary in high doses, and addiction is rare Interprofessional Care Community resources -Stroke -Acute chest syndrome -Kidney Scarring