NSG 3800 & 3850 Exam 1
Study online at https://quizlet.com/_efhhg6
1. Sickle Cell Ane- a genetic disorder that causes abnormal hemoglobin, resulting in some red blood
mia cells assuming an abnormal sickle shape
2. What does sick- Abnormal shape of RBCs can cause decreased oxygenation (because of the shape
le cell anemia they can carry oxygen as efficiently).
cause?
They can also cause occlusions in blood vessels, resulting in pain.
3. What are the ex- Hemoglobin and Hematocrit will be chronically low, however, when dehydrated
pected lab values they will create a 'false' increase in values.
for sickle cell ane-
mia? Bilirubin will increase.
WBC & Platelet will be higher (referred to as a chronic inflammatory state)
4. sickle cell anemia Joint Pain
clinical manifes- Fatigue
tations & expect- Tachycardia/Murmurs/Cardiomegaly (big heart)
ed findings? Jaundice (Due to excess bilirubin)
Low O2 Saturation
HEADACHE THAT WON'T SUBSIDE
5. Why does sick- Sickle cell patient's RBCs do not have as long as a life span as normal RBCs,
le cell anemia therefore they are dying out faster than the liver can filter them out.
cause higher lev-
els of bilirubin?
6. sickle cell crisis: Entrapment of erythrocytes & leukocytes leading to tissue hypoxia, inflammation,
Acute Vaso-Oc- and necrosis. It is VERY painful.
clusive Crisis
7. Sickle cell crisis: This is the leading cause of death in patients with sickle cell.
Acute Chest Syn- a severe lung-related complication of sickle cell disease that affects both children
drome and adults. It creates a pneumonia like illness.
, NSG 3800 & 3850 Exam 1
Study online at https://quizlet.com/_efhhg6
8. Sickle cell crisis: Results from the human parvovirus.
Aplastic Crisis Hemoglobin levels will fall rapidly and bone marrow cannot compensate, AS
EVIDENCE BY THE ABSENCE OF RETICULOCYTES (immature RBCs)
9. Sickle cell cri- Results when organs pool the sickled cells. Can effect the liver, spleen, and LUNGS.
sis: Sequestra-
tion Crisis
10. Complications of Stroke, Kidney/liver Failure, HF, Pulmonary HTN, Acute Chest Syndrome, Infection,
Sickle cell dis- & Reproductive Issues.
ease?
remember these patients are at risk for occlusions in blood vessels.
11. Sickle Cell Nurs- H.ydration
ing Interventions O.xygenation
P.ain Management
Keep the patient warm. Cold temperatures can send these patients into a crisis.
YOU NEED AN ORDER TO GIVE PRN BREAKTHROUGH PAIN MEDICATIONS.
12. Sickle Cell Nurs- educate on PCA pump, incentive spirometry.
ing Care Cluster care as much as possible.
Allow patients to take breaks during activities.
Infection prevention: Hand hygiene & Antibiotic Prophylaxis
13. Sickle Cell Med- Hematopoietic Stem-Cell Transplant
ical Management Aspirin to help relieve mild/moderate pain, Hydromorphine for sever pain.
Chemotherapy: hydroxyurea- this decreases formation of sickled cells.
Blood Transfusions
Corticosterioids
Iron Supplements
IV FLUIDS!
, NSG 3800 & 3850 Exam 1
Study online at https://quizlet.com/_efhhg6
14. What causes the Strands inside the cell cause the abnormal shape. These strands come from
abnormal shape abnormal hemoglobin formation.
of cells with Sick-
le Cell?
15. Potassium: High PEAKED T-WAVES
Levels s/s Muscle Weakness
Diarrhea
Intestinal Cramping
Flaccid Paralysis
Intestinal Colic, Abdominal Distention & Cramping
Irritable and Anxious
16. Potassium: Low U WAVES
Levels s/s Excessive Thirst
Fatigue
Muscle Weakness
Low Bowel Motility
Polyuria
17. Potassium: What Excessive Intake
can cause high Decreased Excretion
levels? Impaired Renal Function
Hypoaldosteronism: Conditions w Low Aldosterone Levels
Potassium Sparing Medications like ACES and ARBS! (Rule of thumb: ACES end in
'pril' & ARBS end in 'artan')
ACIDOSIS
18. Unbalanced Diets/Not enough in diet
Anorexia
Study online at https://quizlet.com/_efhhg6
1. Sickle Cell Ane- a genetic disorder that causes abnormal hemoglobin, resulting in some red blood
mia cells assuming an abnormal sickle shape
2. What does sick- Abnormal shape of RBCs can cause decreased oxygenation (because of the shape
le cell anemia they can carry oxygen as efficiently).
cause?
They can also cause occlusions in blood vessels, resulting in pain.
3. What are the ex- Hemoglobin and Hematocrit will be chronically low, however, when dehydrated
pected lab values they will create a 'false' increase in values.
for sickle cell ane-
mia? Bilirubin will increase.
WBC & Platelet will be higher (referred to as a chronic inflammatory state)
4. sickle cell anemia Joint Pain
clinical manifes- Fatigue
tations & expect- Tachycardia/Murmurs/Cardiomegaly (big heart)
ed findings? Jaundice (Due to excess bilirubin)
Low O2 Saturation
HEADACHE THAT WON'T SUBSIDE
5. Why does sick- Sickle cell patient's RBCs do not have as long as a life span as normal RBCs,
le cell anemia therefore they are dying out faster than the liver can filter them out.
cause higher lev-
els of bilirubin?
6. sickle cell crisis: Entrapment of erythrocytes & leukocytes leading to tissue hypoxia, inflammation,
Acute Vaso-Oc- and necrosis. It is VERY painful.
clusive Crisis
7. Sickle cell crisis: This is the leading cause of death in patients with sickle cell.
Acute Chest Syn- a severe lung-related complication of sickle cell disease that affects both children
drome and adults. It creates a pneumonia like illness.
, NSG 3800 & 3850 Exam 1
Study online at https://quizlet.com/_efhhg6
8. Sickle cell crisis: Results from the human parvovirus.
Aplastic Crisis Hemoglobin levels will fall rapidly and bone marrow cannot compensate, AS
EVIDENCE BY THE ABSENCE OF RETICULOCYTES (immature RBCs)
9. Sickle cell cri- Results when organs pool the sickled cells. Can effect the liver, spleen, and LUNGS.
sis: Sequestra-
tion Crisis
10. Complications of Stroke, Kidney/liver Failure, HF, Pulmonary HTN, Acute Chest Syndrome, Infection,
Sickle cell dis- & Reproductive Issues.
ease?
remember these patients are at risk for occlusions in blood vessels.
11. Sickle Cell Nurs- H.ydration
ing Interventions O.xygenation
P.ain Management
Keep the patient warm. Cold temperatures can send these patients into a crisis.
YOU NEED AN ORDER TO GIVE PRN BREAKTHROUGH PAIN MEDICATIONS.
12. Sickle Cell Nurs- educate on PCA pump, incentive spirometry.
ing Care Cluster care as much as possible.
Allow patients to take breaks during activities.
Infection prevention: Hand hygiene & Antibiotic Prophylaxis
13. Sickle Cell Med- Hematopoietic Stem-Cell Transplant
ical Management Aspirin to help relieve mild/moderate pain, Hydromorphine for sever pain.
Chemotherapy: hydroxyurea- this decreases formation of sickled cells.
Blood Transfusions
Corticosterioids
Iron Supplements
IV FLUIDS!
, NSG 3800 & 3850 Exam 1
Study online at https://quizlet.com/_efhhg6
14. What causes the Strands inside the cell cause the abnormal shape. These strands come from
abnormal shape abnormal hemoglobin formation.
of cells with Sick-
le Cell?
15. Potassium: High PEAKED T-WAVES
Levels s/s Muscle Weakness
Diarrhea
Intestinal Cramping
Flaccid Paralysis
Intestinal Colic, Abdominal Distention & Cramping
Irritable and Anxious
16. Potassium: Low U WAVES
Levels s/s Excessive Thirst
Fatigue
Muscle Weakness
Low Bowel Motility
Polyuria
17. Potassium: What Excessive Intake
can cause high Decreased Excretion
levels? Impaired Renal Function
Hypoaldosteronism: Conditions w Low Aldosterone Levels
Potassium Sparing Medications like ACES and ARBS! (Rule of thumb: ACES end in
'pril' & ARBS end in 'artan')
ACIDOSIS
18. Unbalanced Diets/Not enough in diet
Anorexia
