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Sickle Cell Anemia (Sickle Cell Crisis (Sever Abdominal Pain, Muscle…
Sickle Cell Anemia
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Pathophysiology
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Enlarged bone marrow sites produce more RBCs & abnormal sickle cell shape causing clumping & obstruction
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Nursing Diagnosis
Impaired gas exchange R/T decreased O2 carrying capacity of blood, Decreased RBC lifespan, abnormal RBC structure as evidenced by dyspnea, confusion,.
Interventions: 1) Monitor Depth, use of accessory muscles & cyanosis.2)Auscultate/notepresence of breath sounds & adventitious breath sounds
Risk for defecient fluid volume R/T hypermetabolic state/fever.Interventions: 1) Maintain accurate I&O weight daily2)Note urine characteristics & specific gravity
Ineffective tissue perfusion R/T vaso-occlusive nature of sickling, inflammatory process as evidenced by diminished peripheral pulses/capillary refill. Interventions: 1) Assess skin for pallor, cyanosis, delayed cap refill