Oncology Part 4 Flashcards
when do cells sickle
when O2 levels drop
returns to normal when O2 levels return to normal
signs of sickle cell crisis
pain, SOB, fatigue, heart failure, tachycardia, hypotension, priapism, cyanosis, jaundice
*assess signs every 8 hrs
nursing interventions if in sickle cell crisis
GIVE O2 and FLUIDS
may need blood transfusion
______ is a LATE sign of decreased O2 and sickle cell crisis
cyanosis
______ is a EARLY sign of decreased O2 and sickle cell crisis
change in mental status
describe hematopoietic stem cell transplantation
permanent cure of sickle cell
very expensive
can still pass the trait
change type of RBC production from HbS to Hb
what is important to remember when treating any patient
treat patient NOT the addiction
treatment of sickle cell
manage PAIN protect from infection/sepsis aseptic technique O2 therapy transfusion (can lead to Fe overload)
what should nurse assess for if sickle cell pt
infection, pneumonia, UTI
education for sickle cell pt
3-4 L fluid/day NO alcohol/smoking avoid extreme temps avoid crowds, planes NO strenuous exercise
what can strenuous exercise in a sickle cell pt lead to
HYPOXIA
can cure patient of sickle cell but may not work
risk of death
bone marrow transplant or HSCT
pain treatment for sickle cell crisis
*usually on PCA opiods *morphine and dilaudid NSAIDS hydroxyurea
what do NSAIDS do for sickle cell pts
decrease inflammation
what do hydroxyurea do for sickle cell pts
decrease number of sickling episodes
BUT increase risk of leukemia
