Question

Corticosteroiols tivity G Think over the following questions. Discuss them with your ,. Your client is diagnosed with sickle cell disease. What educational information will you provide to this client? 3. What general nursin vide to all clients diagnosed with anemia? will 4. What nursing assessments and 2 Your client is diagnosed with acute lymphocytic leuke- provide to clients that are specific to each type of the mia. His absolute neutrophil count indicates that he is at high risk for infection. You place the client in neutrope seven anemias? nic precautions. What guidelines will you follow?

Answer 1

1.sickle cell anaemia results from inheritance of the sickle haemoglobin gene.

• as the age increases the pain also increases and become unpredictable, so non-pharmacological management like physical and occupational therapy, physiotherapy, cognitive and behavioural interventions are crucial.
• to prevent infection, immunization should be up-to-date.
• avoid emotional stress, strenuous activity, environment with low oxygen (high altitude), polluted environment to prevent oxygen loss
• maintain fluid -avoid too much exposure to sun, identify signs of dehydration
• prevent infection-seek immediate medical aid, thorough hand washing.

2.

neutropenia- decreased neutrophil counts (white blood cells)

• monitor signs and symptoms of infection.
• maintain hygiene
• wear mask
• cover central line with waterproof dressing
• in case of infection, immediately start IV antibiotic therapy, since delay of treatment cause serious consequence
• maintain hygiene in rooms.

3.

assessment

Determine the type and cause of anaemia

• complete blood count to find whether anaemia is a part of another disease
• .bone marrow aspiration
• nutritional assessment
• observe for jaundice (hemolytic anaemia)

interventions

manage fatigue - prioritize activities and rest that is acceptable to the patient, maintain physical activity and fatigue -to avoid deconditioning

Maintain adequate nutrition- encourage a healthy diet, Avoid alcohol since it interferes utilization of essential nutrients, dietary supplements should be provided, educate client and family that nutritional supplements may not correct all anaemias

Maintain adequate perfusion- monitor vital signs, pulse oximetry, supplement oxygen if needed, withheld or adjust antihypertensives.

Monitor potential complications- should assess signs and symptoms of heart failure,neurologic assessment should be done when suspecting megaloblastic anaemia.