STUDENT NAME
Thrombocytopenia REVIEW MODULE
DISORDER/DISEASE PROCESS CHAPTER
Alterations in Health Pathophysiology Related Health Promotion and
(Diagnosis) to Client Problem Disease Prevention
Thrombocytopenia: conditions Usually the result of bone marrow Avoid drinking and blood thinners if
where abnormally low platelets not producing enough platelets at risk (chemotherapy or
levels that can cause bleeding that help clot blood when malignancy of bone marrow)
gums, nose bleeds, headaches, bleeding.
bruising
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Patient is at risk for
bone marrow malignancy, autoimmune bleeding out should
low platelet counts >100.000/mm3 major trauma occur
disease, bacterial infections,
chemotherapy drugs, heavy alcohol including surgeries.
consumption Be very careful with
patient and handle with
care.
It is important to
remember even a small
cut on a finger could be
Laboratory Tests Diagnostic Procedures dangerous for the client
CBC checking platelet counts depending on platelet
a bone marrow test (checking for
malignancy) levels
blood smear to check platelet
appearance
PATIENT-CENTERED CARE Complications
hemorrhage possibly
Nursing Care Medications Client Education resulting in death
Monitor for petechiae, -how to manage active bleeding
Thrombopoietic
ecchymosis (bruise), -preventing bleeding, avoid
medication
bleeding of the gums, contact sports or activities
Oprelvekin to where injury is possible
nosebleeds, and occult or stimulate platelet
frank blood in stools, urine, -avoid NSAIDs
production
or vomit -apply cold if injury occurs
Platelet
transfusions
Therapeutic Procedures Interprofessional Care
institute bleeding precautions
when needlestick necessary use
smallest gauge possible
apply pressure to wounds for 10
min after blood shed
handle client gently and avoid
trauma
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11