5 Sickle Cell Anemia ATI PDF

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Summary

ATI practice template...

Description

System Disorder

ACTIVE LEARNING TEMPLATE:

Hematologic Disorders: ST UDENT NAME _____________________________________ Sickle Cell Anemia DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Homozygous and most common form of sickle cell disease

Sickle cell disease is a group of diseases in which abnormal sickle hemoglobin S replaces normal adult hemoglobin

21 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention N/A

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Autosomal recessive genetic disorder Primarily affects African Americans

Laboratory Tests

Family history, reports of pain, shortness of breath, fatigue, palor, pale mucus membranes, jaundice, hands and feet cool to touch, dizziness, headache

Diagnostic Procedures

Newborn screening, CBC, Sickle-Turbidity, Hemoglobin electrophoresis

Sickle turbidity screening: tool to detect the presense of HbS but will not differentiate the trait from the disease. Transcranial Doppler Test

PATIENT-CENTERED CARE

Nursing Care Promote rest to decrease oxygen comsumption. Administer oxygen as prescribed if hypoxia is present. Monitor and report lab values. Treat/prevent infection

What immunizations can they receive? pneumococcal conjugate vaccine meningococcal vaccination haemophilus influenzae type B vaccine

Complications Medications Acetaminophen, Ibuprofen, Opioid analgesics, Hydroxyurea

Client Education Pain mgmt, promote rest,

Sickle cell crisis is an acute exacerbation of SCA Stroke Acute chest Syndrome Kidney Scaring

Therapeutic Procedures Exchange transfusions Hematopoietic stem cell transplant

ACTIVE LEARNING TEMPLATES

Interprofessional Care Community resources

Visual Acuity decreased Priapism (males)...