Nursing care plan for polycythemia

Though rare, MPNs are serious conditions that are caused by overproduction or proliferation of bone marrow stem cells.

Polycythemia is a chronic disorder characterized by excessive production of red blood cells RBCs , platelets, and myelocytes. As these increase, blood volume, blood viscosity, and hemoglobin Hb concentration increase, causing excessive workload for the heart and congestion of some organs e. Secondary polycythemia results from an abnormal increase in erythropoietin production e. Polycythemia vera is a primary disorder arising from a chromosomal mutation a single recurrent JAK2 mutation most often affecting men of Jewish descent, with onset in late midlife. Polycythemia vera results in increased RBC mass, leukocytosis, and slight thrombocytosis. Because of increased viscosity and decreased microcirculation, mortality is high if the condition is left untreated. In addition, there is potential for this disorder to evolve into other hematopoietic disorders, such as myelofibrosis and acute leukemia.

Nursing care plan for polycythemia

Background: Polycythemia vera PV is a chronic myeloproliferative neoplasm, which is a threat to life. Teamwork is needed during the process of treatment and care of patients suffering from PV, which is a chronic illness. Especially, important roles fall to the nurses within the team. Objective: The purpose of this article is to assess the symptoms in connection with PV and the treatment and the difficulties which have been experienced, in accordance with the System for the Categorisation of Nursing Diagnoses of the North American Nursing Diagnosis Association NANDA and present possible nursing diagnoses and the management of symptoms according to these diagnoses. The approaches directed at the nursing diagnoses which have been determined in the article, are based on the papers from peer-reviewed publications, books, guidelines and the recommendations made by medical professionals. Results and conclusion: The important nursing diagnosis related with PV are altered gas exchange, altered tissue perfusion, fatigue, high risk of injury, high risk of infection, deterioration of comfort itching , high risk of impaired skin integrity and pain. It was not possible to find any randomized controlled studies on this subject. It is recommended that these diagnosis and differences are taken into account in nursing interventions. Nurses need to use a patient centred approach in the administration of PV, in order to assess the patients, plan care and achieve the self-management of the disease with the patient, who has been empowered with knowledge.

This decreases your blood volume and reduces the number of excess blood cells. Elevated Hemoglobin AC Knowledge deficit related to diabetic control Hemoglobin AC is used to assess diabetic control over a period of time.

Nursing Diagnoses associated with CBC results. Until the mid's, neutropenic patients were placed in reverse isolation. Newer protocols recommended by the Centers of Disease Control CDC emphasize strict handwashing as the most significant means of protecting a neutropenic patient from infection. Exposure to people with upper respiratory infections or other infectious diseases should be eliminated. It is important for the patient to have excellent personal hygiene and the patient's environment must be controlled to eliminate potential bacterial sources of infection.

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Nursing care plan for polycythemia

Patients with Polycythemia vera may experience difficult-to-manage symptoms such as headaches, dizziness, vision disturbances, and fatigue. For these reasons, healthcare professionals must understand polycythemia vera management and how they can help provide quality care to those affected by this life-long condition. Polycythemia vera is a chronic and progressive blood disorder characterized by increased red blood cell production. This rare disease carries an increased risk of stroke and heart attack due to the thickening of the red blood cells resulting from this condition. A malignant DNA mutation in a single bone marrow cell causes polycythemia vera. While some may experience elevated levels of all three components, others may only have increased RBCs.

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Medical Professionals. Gezer, E. Adding starch, such as cornstarch, to your bath might help. Note: In the presence of pruritus, skin may become painful and swollen, exacerbated by heat or exposure to water. Accept Deny View preferences Save preferences View preferences. Erythropoietin levels: Elevated in secondary polycythemia and decreased in polycythemia vera. It is important to note there is no cure for polycythemia vera. Functional Functional Always active The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. Lukewarm baths and routine use of skin moisturizer can reduce the severity of pruritis. Nursing Diagnoses associated with CBC results. Elevated Hemoglobin AC Knowledge deficit related to diabetic control Hemoglobin AC is used to assess diabetic control over a period of time. Teaching a patient who is taking anti-coagulants should include both preventing bleeding episodes and recognizing signs and symptoms of bleeding.

Polycythemia is a chronic disorder characterized by excessive production of red blood cells RBCs , platelets, and myelocytes.

If the patient is taking a medication that impacts the liver or kidneys, then those labs will be followed as well. If so, how often? Polycythemia vera adult. Polycythemia vera pathophysiology Polycythemia vera occurs due to a malignant change in the DNA of a single cell in the bone marrow. Many of the symptoms are caused by poor circulation secondary to RBC and platelets impeding blood flow:. These are pain measures that potentiate analgesics and do not have side effects. It is important to note there is no cure for polycythemia vera. Avoid low-oxygen environments. Don't hesitate to ask other questions you think of during the appointment. Alteration in nutritional requirements The patient with a low hematocrit needs increased amounts of protein and iron to help the bone marrow produce additional red blood cells. In addition, there is potential for this disorder to evolve into other hematopoietic disorders, such as myelofibrosis and acute leukemia.