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Precursor cells are stem cells that
have developed to the stage where they
are committed to forming a particular
kind of new blood cell
Pancytopenia A condition in which there is a lower-than-normal
number of red and white blood cells and platelets in the blood.
Pancytopenia occurs when there is a problem with the blood-forming
stem cells in the bone marrow.
Nursing Interventions
Managing Pain
• Use patient’s subjective description of pain and pain rating
on a pain scale to guide the use of analgesic agents.
• Support and elevate any joint that is acutely swollen until
swelling diminishes.
• Teach patient relaxation techniques, breathing exercises,
and distraction to ease pain.
• When acute painful episode has diminished, implement
aggressive measures to preserve function (eg, physical
therapy, whirlpool baths, and transcutaneous nerve
stimulation).
Preventing and Managing Infection
• Monitor patient for signs and symptoms of infection.
• Initiate prescribed antibiotics promptly.
• Assess patient for signs of dehydration.
• Teach patient to take prescribed oral antibiotics at home, if
indicated, emphasizing the need to complete the entire
course of antibiotic therapy.
Promoting Coping Skills
• Enhance pain management to promote a therapeutic
relationship based on mutual trust.
• Focus on patient’s strengths rather than deficits to enhance
effective coping skills.
• Provide opportunities for patient to make decisions about
daily care to increase feelings of control.
Increasing Knowledge
Teach patient about situations that can precipitate a sickle cell
crisis and steps to take to prevent or diminish such crises (eg,
keep warm, maintain adequate hydration, avoid stressful
situations).
If hydroxyurea is prescribed for a woman of childbearing age,
inform her that the drug can cause congenital harm to unborn
children and advice about pregnancy prevention
.
Monitoring and Managing Potential Complications
Management measures for many of the potential complications
are delineated in the previous sections; additional measures
should be taken to address the following issues.
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx
aplastic anemia &sickle cell and thalasemia.pptx

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aplastic anemia &sickle cell and thalasemia.pptx

  • 1.
  • 2. Precursor cells are stem cells that have developed to the stage where they are committed to forming a particular kind of new blood cell
  • 3.
  • 4.
  • 5. Pancytopenia A condition in which there is a lower-than-normal number of red and white blood cells and platelets in the blood. Pancytopenia occurs when there is a problem with the blood-forming stem cells in the bone marrow.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Nursing Interventions Managing Pain • Use patient’s subjective description of pain and pain rating on a pain scale to guide the use of analgesic agents. • Support and elevate any joint that is acutely swollen until swelling diminishes. • Teach patient relaxation techniques, breathing exercises, and distraction to ease pain. • When acute painful episode has diminished, implement aggressive measures to preserve function (eg, physical therapy, whirlpool baths, and transcutaneous nerve stimulation).
  • 18. Preventing and Managing Infection • Monitor patient for signs and symptoms of infection. • Initiate prescribed antibiotics promptly. • Assess patient for signs of dehydration. • Teach patient to take prescribed oral antibiotics at home, if indicated, emphasizing the need to complete the entire course of antibiotic therapy. Promoting Coping Skills • Enhance pain management to promote a therapeutic relationship based on mutual trust. • Focus on patient’s strengths rather than deficits to enhance effective coping skills. • Provide opportunities for patient to make decisions about daily care to increase feelings of control.
  • 19. Increasing Knowledge Teach patient about situations that can precipitate a sickle cell crisis and steps to take to prevent or diminish such crises (eg, keep warm, maintain adequate hydration, avoid stressful situations). If hydroxyurea is prescribed for a woman of childbearing age, inform her that the drug can cause congenital harm to unborn children and advice about pregnancy prevention . Monitoring and Managing Potential Complications Management measures for many of the potential complications are delineated in the previous sections; additional measures should be taken to address the following issues.