Nursing care plan for polycythemia

Though rare, MPNs are serious conditions that are caused by overproduction or nursing care plan for polycythemia of bone marrow stem cells. Recall that blood cells originate from bone marrow stem cells, so individuals with MPNs have disorders related to the quantity and quality of blood cells. There are three types of MPN:. You can listen to the following information in episode of the Straight A Nursing podcast, available from this website or wherever you get your podcasts.

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.

Nursing care plan for polycythemia

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. Hypertension, engorgement of retinal blood veins, crackles rales , weight loss, cyanosis, changes in mentation or mood delirium, psychotic depression, mania , ruddy complexion especially palmar aspects of hands and plantar surfaces of feet , splenomegaly, hepatomegaly, gastrointestinal GI disturbances ulcers, GI bleed. May be increased because of increased nucleoprotein, an end product of RBC breakdown. Objective indicators, such as grimacing, are absent or diminished. Patient states that lifestyle behaviors are not compromised because of discomfort. Health care setting Primary care; acute care for complications. Physical assessment: Hypertension, engorgement of retinal blood veins, crackles rales , weight loss, cyanosis, changes in mentation or mood delirium, psychotic depression, mania , ruddy complexion especially palmar aspects of hands and plantar surfaces of feet , splenomegaly, hepatomegaly, gastrointestinal GI disturbances ulcers, GI bleed. Platelet count: Elevated as a result of increased production.

This causes an increase in erythropoietin EPOwhich leads to the overproduction of red blood cells in an attempt to provide the tissues with adequate oxygen. Will I need follow-up visits? Polycythaemia vera PV.

If your doctor suspects that you have polycythemia vera, he or she might recommend collecting a sample of your bone marrow through a bone marrow aspiration or biopsy. A bone marrow biopsy involves taking a sample of solid bone marrow material. A bone marrow aspiration is usually done at the same time. During an aspiration, your doctor withdraws a sample of the liquid portion of your marrow. In a bone marrow aspiration, a health care provider uses a thin needle to remove a small amount of liquid bone marrow, usually from a spot in the back of your hipbone pelvis.

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. Polycythemia vera PV is a disorder in which the body produces too many red blood cells.

Nursing care plan for polycythemia

Federal government websites often end in. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. NCBI Bookshelf. Ashwin A. Mukkamalla ; Hani M. Authors Ashwin A. Mukkamalla 3 ; Hani M. Babiker 4. Polycythemia, also called erythrocytosis, refers to increased red blood cell mass, noted on laboratory evaluation as increased hemoglobin and hematocrit levels.

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Facebook Instagram Pinterest Youtube. Avoid rectal suppositories or enemas for constipation and do not use a rectal thermometer. Is this condition temporary, or will I always have it? Posted in Med Surg. This phase is characterized by an enlarged spleen splenomegaly , low blood counts, and bone marrow fibrosis. International Patients. Non-pharmacologic treatments include: Early ambulation and ROM to improve blood flow and help prevent thrombotic events. Recall that the spleen filters the blood. Treatments to reduce itching If you have bothersome itching, your doctor may prescribe medication, such as antihistamines, or recommend ultraviolet light treatment to relieve your discomfort. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Admissions Requirements. Elsevier;

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.

Posted in Med Surg. Non-pharmacologic treatments include: Early ambulation and ROM to improve blood flow and help prevent thrombotic events. The patient provides a personal baseline report, enabling nurse to more effectively monitor subsequent increases and decreases in pain. In hot weather, protect yourself from the sun and drink plenty of liquids. The technical storage or access that is used exclusively for statistical purposes. Treatments to reduce itching If you have bothersome itching, your doctor may prescribe medication, such as antihistamines, or recommend ultraviolet light treatment to relieve your discomfort. If a cut occurs, clean the area and apply firm pressure with a clean cloth for at least five minutes. It is important to note there is no cure for polycythemia vera. Polycythemia vera-associated complications: Pathogenesis, clinical manifestations, and effects on outcomes. Ensure the patient understands how to take their medication. Drugs that reduce the number of red blood cells If phlebotomy alone doesn't help enough, your doctor may suggest medications that can reduce the number of red blood cells in your bloodstream. This phase is characterized by an enlarged spleen splenomegaly , low blood counts, and bone marrow fibrosis. 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.