Case Study Sickle Cell Disease

1. Sickle cell disease is a theme of disorders that affects hemoglobin, the molecule in red blood cells that delivers oxygen to cells throughout the body. community with this disorder go for atypical hemoglobin molecules called hemoglobin S, which stern filtrate red blood cells into a reap hook, or crescent, shape. atomic number 110 affects millions of people worldwide, specially those with African, Spanish, Mediterranean, and Indian ancestry.Some 120,000 infants argon born with SCD every year worldwide. In the United States, approximately 1 in 500 African-Americans and 1 in 1,200 Hispanic Americans are born with SCD. Some 2 million Americans including to the highest degree 10 percent of the African-American population carry one element for SCD, the sickle cell trait. 2. People without a spleen or those who have a spleen that is nonfunctioning are at an change magnitude risk for developing infections, these infections can be fatal if not treated immediately.3. Anemia resul ting from a failure in blood cellAnemia associated with an excessive destruction of red cells4. SCD can be very painful and to help control the pain the physican would need to know how much pain the client is in and if he is in pain did he want something to help control the pain.5. Yes V.M. is be adequately oxygenated.6. V.M. low Hgb could be causing the S.O.B. usually shortness of breathing time with anemia is ca utilize upon exertion so I think there are some other underlying conditions causing his SOB.7. Increased pulse, crackles in the lungs, increased B/P, increased respirations/respiration pattern.8. I would expect the MD to do a chest xray, place client on strict I&O, give him lasix, admit for observation, order teds, place on low atomic number 11 diet.9. Normal NA 137 K 4.9 WBC 4.3 Platelets 208High Bun 27Creatinine 2.7- problem with the kidneys or kidney function Phospate 4.7- controlled by kidneys, evidence of a kidney problem Cl 110- can be ca apply by certain kidney di seaseLowCO2 16 Changes in your CO2 take may suggest that you are losing or retaining placid, which causes an imbalance in your bodys electrolytes.CO2 takes in the blood are influenced by kidney and lung function. The kidneys are mainly responsible for maintaining the mean(prenominal) bicarbonate levels. Ca 8.2- kidney decease can cause a change magnitude in CaHBG 7.8 can be caused by Kidney problems, SCA, bleeding and so onHct 20.9 can be cause by anemia, destruction of red blood cells and over hydration10. furosemide Furosemide is a loop diuretic (water pill) that prevents your body from absorbing similarly much salt, allowing the salt to instead be passed in your urine. Furosemide treats unstable retention (edema) in people with congestive nerve centre failure, liver disease, or a kidney disorder such as nephrotic syndrome. This medication is also used to treat high blood pressure (hypertension). Methylprednisolone is used to treat conditions such as arthritis, blood d isorders, severe allergic reactions, certain cancers, eye conditions, tegument/kidney/intestinal/lung diseases, and immune system disorders. It decreases your immune systems response to various diseases to subdue symptoms such as swelling, pain, and allergic-type reactions. This medication is a corticosteroid hormone.Ceftriaxone is an antibiotic used to treat a wide variety of bacterial infections. Thismedication is cognise as a cephalosporin antibiotic. It works by stopping the increase of bacteria. 11. Sickle Cell Disease clients often receive blood transfusions on an ongoing basis, making it more authoritative for the them to receive the best partner for their bodies. When they receive blood that is not the best match, their bodies may begin to tardily reject the blood.If they cannot receive blood safely, they may die. It is important that the labs knows it is a sickle cell patient, follow all facility protocols ( monitoring deviceing Bp, temp, pulse, as recommended), mon itor the patient closely for signs and symptoms of rejection. 12. Often SCD patients are looked at as drug seekers and are not provided with the pain relief that they need. Its important to remember not to stereotype patients and believe what they tell you their pain level is.13. Have him follow up with a cardiologist about his heart murmur, incourge hime to work on his B/P control with diet and exercises. preparation on what can trigger Sickle cell crisis temp, smoking etc. Encourage a low sodium diet, weigh daily if more than a 2 lbs gain in a day state his physician, Teach causes of fluid volume excess and/or excess brainchild to patient or caregiver. Provide information as needed regarding the individuals medical exam diagnosis (e.g., congestive heart failure CHF, renal failure). Explain or reinforce rationale and intended effect of treatment program. rank signs and symptoms of fluid volume excess. Explain importance of maintaining proper nutrition and hydration, and diet m odifications. Identify symptoms to be reported.