Sickle Cell Plan of Care

Then, countenance a brief description of the pathologic all in ally of sickle prison cell genus Anemia and complete the nursing upkeep plan by filling in the goals, outcomes, and nursing orders for the diagnoses provided in the table. SITUATION Lavabo is a 30 year old, single African American who was diagnosed with sickle cell anemia when he was 4 age old. He works for a computer company and has been working 12 hour days to realise the deadline for a special project.Lavabo is complaining f fatigue and decided to relax by playing golf on a warm Saturday morning. After the seventh hole he experienced odyssey, tingling, and numbness in his legs. After the next hole, he experienced severe disquiet in his right ankle and knee. He was taken to the local medical center, where he was admitted. Lavabo rates his pain at 8 on a scale of 1-10. The physician ordered oxygen, IV fluids, and a PICA pump with morphine sulfate. differentiate the pathologically that occurs in sickle cell anemi a (4 points).Sickle cell anemia is the most common variation of sickle cell disease which is an inherited, autocross recessive throw out of kilter that causes an abnormal hemoglobin cell. The person with this specific disorder inherited hemoglobin S from both parents, also known as homozygous (Lewis, Drinkers, Hitchhiker, & Boucher, 2014, up. 644-647). This hemoglobin S results from the substitution of valise for glutamine acid on the B- globing chain of hemoglobin, and this ultimately causes the erythrocyte to tauten and elongate taking a sickle shape in response to low oxygen levels (Lewis et al. 2014, up. 644-647). Due to the sickle cells elongated shape, and its stiff and sticky consistency it tends to get stuck in capillaries and vessels, and blocks blood flow to limbs and organs (Lewis et al. , 2014, up. 644-647). The major problems with sickle cell anemia is due to their sickles shape, reduced life expectancy and their ability to carry enough hemoglobin or transport it pro perly to the body to provide adequate oxygenation.Therefore a person who has sickle cell anemia has a lower number of red blood cells colligate to the shortened cell life that dies after only 10-20 days, compared to a normal red blood cell which lives about 120 days (Lewis et al. , 2014, up. 644-647). oculus sinister marrow is unable to keep up with the demand for new red blood cells to replace the expiry ones, making a person with sickle cell anemia left in a separate of constant inadequate oxygenation (Lewis et al. , 2014, up. 644-647). Occlusion of capillaries and small vessels lead to acute or chronic tissue injury.This leads to encourage problems related to homeostasis which broadens to perpetuate a cycle of local hypoxia, degeneration of more erythrocytes, and more suckling which continue to cause irreversible cell membrane damage (Lewis et al. , 2014, up. 644-647). Unless youre directly quoting you only need to address the authors formerly According to Lewis et al. , A SS is xx or write your summary and add to the end of the paragraph (Lewis et al. , 2014 up. 644-647) since all your information is from 1 source. If your quoting directly from the source you need to enclose in Nursing Diagnoses Pain related to occlusion of small vessel by sickle cells as evidenced by severe pain in art. Knee and ankle. Altered tissue perfusion related to a decreased number of Orbs and decreased oxygenation as manifested by odyssey, tingling/numbness in ankle and knees. Activity Intolerance related to imbalance amid oxygen supply and demand, as manifested by fatigue, odyssey,