Question

please help me with these two questions

Accessibility Mode Print O Find es immersive 1. Angela Clayton, a 7-year-old girl, was diagnosed with sickle cell disease at birth. She was outside playing in the snow when she developed severe abdominal pain. Her parents immediately took her to the emergency room suspecting a sickle cell crisis. (Learning Objective 3) a. Describe the nursing process for the patient with sickle cell crisis 2. Mary Saeger, a 56-year-old woman, is receiving outpatient chemotherapy for bladder cancer. A round of chemotherapy consists of gemcitabine on day 1 and day 8. Cisplantin is administered on day 2. A CBC with differentialis ordered prior to the chemotherapy on day 1, day 8, and 1 week after the chemotherapy. The absolute neutrophil count(ANC) is 489/mm) at 1 week after the chemotherapy. The patient's temperature is 97.6°F. (Learning Objective 5) a. What is the significance of the absolute neutrophil count? b. Based on the reason for the neutropenia, what medical management would you anticipate? What natient teachine will the nurse provide to the patient? GIVE FEEDBACK TO MICROSOFT

Answer 1

Answer 1: Sickle cell disease is a genetic disorder. It is a blood disorder characterised by the abnormality in the haemoglobin molecules in the red blood cells (RBCs). The affected individuals have a wide variety of gastrointestinal disorders. Many a times it causes diagnostic confusion.

The first thing to be done in such emergency is the attempt to reduce the pain of the patient. Body fatigue should be monitored. The respiratory rate should be monitored and sufficient oxygen should be provided to the patient because the oxygen-carrying capacity is deprived in the RBCs. The impaired gas exchange should be monitored. The changes in the cardiac rhythm should be monitored. There could be observations of acute chest syndrome due to high oxygen demand by the body. There should be through checks of chest pain. Signs of fever, cough and breathlessness should be monitored. Brain tissues are sensitive to low oxygen level and hence consciousness level should be regularly accessed. Administer adequate fluid to the patient. Normal body temperature should be maintained to reduce metabolic oxygen demands. For this, aspirin could be given to the patient. Complete blood test should be done.