Sickle Cell crisis
This type of sickle cell crisis is marked by RBC lodged in the peripheral vasculature and causes pain due to ischemia. S/S painful episode, joint pain, abdominal pain, swollen extremities hematuria, obstructive jaundice. Long term complications like cirrhosi, renal failure and seizures
Vaso Occlusive
Pain medications for Sickle Cell Crisis
Codeine
morphine
oxycodone and hydromorphone
There are two types. This blood disorder is marked by INCREASE in breakdown of RBX
Hyperbillirubiemia
List the types of blood products
Whole blood, packed RBCs, platelets, granulocytes, Fresh-frozen plasma.
Treatment for ICP
Sterioid IV or ORAL IV immunoglobulin Antibodies for RhD+ and platelets
pooling gin spleen
sequestration
______________________ is not FDA approved to treat sickle cell but it does increase oxygen to cells
Hydroxyurea
____________ is a blood disorder characterized by abnormal production of hemoglobin. Common in Mediterranean culture Includes bone pain and fractures, enlargement of spleen, overstimulation of bone marrow and heart failure The pt eventually dies from heart Failure
Name two important factors to administering blood transfusions. What MUST you HAVE
CONSENT and ORDER.
Foods for iron deficiency anemia
Dried beans, lentils, peanutbutter, green leafy veggies and red meat
________________ is a crisis of sickle cell that is caused by an infection and can be a medical emergency usually pulmonary in nature
Acute Chest
Hydration, Pain within 30 mins and Oxygen
___________________ is a blood disorder marked by the decreased number of platelets. Usually has a platelet count of less than 100,000
S/S: Petechiae, blood in mucus, urine, stools and has bleeding in the tissues
ICP-Idiopathic thrombocytopenia Purapur
How long should you monitor vitals when giving blood
FIRST 15 MINS
IRON LOVES
VITAMIN C- Orange Juice
increase absorption
CX by papovirus 19 impairs the bone marrow ability to keep up with RBC destruction rate
Aplastic Crisis
____________ is a permanent cure for sickle cell but has an increase risk of neurological injuries/complication
Stem Cell
A nurse suspects a patient is having a reaction to a blood product. What should the nurse do
STOP THE INFUSION
What percent of saline do you administer during blood transfusion
0.9
What are the steps of you patient experieces epistaxis
Seated position, Hold head forward, Pinch nose and add ice if doesn't resolve
Priority intervention for sickle cell crisis patient
Hydration
Complications of Sickle Cell
Stoke, infection, decreased spleen size, acute chest, Kidney Scarring, Priapism
Treatment of this blood disorder is transfusions to keep the HGB above 10 and bone marrow transplant. even it's these intervention patient will have poor prognosis and die of cardiac issues
Thalassemia
What are the lab test for ICP
CBC, Coagulation study and bone marrow biopsy
Complication of Hyperbillirubin
Jaundice