Sickle Cell Case StudyClient Profile:Ms. Fox is a 20 year old black American who presents to the emergency department with complaints of chest pain and some shortness of breath. Ms. Fox indicates that she has had a nonproductive cough and low grade fever for the past two days. She recognizes these symptoms as typical of her sickle cell crisis episodes and knew it was important that she come in to get treatment.Case study: Ms. Fox was diagnosed with sickle cell anemia as a child and has had multiple crises requiring hospitalization. Ms. Fox states that the pain in her chest is an 8 on a 0-10 scale. She describes the pain as a constant burning pain. Her vital signs are temperature of 100.8F, blood pressure 120/76, pulse 96, and respiration rate of 22. Her oxygen saturation on room air is 94%. She is having some difficulty breathing and is placed on 2 liters of oxygen by nasal cannula. Ms. Fox explains that she took Extra Strength Tylenol for the past two days in an effort to manage the pain, but when this did not work and the pain got worse, she came in for a stronger pain medication. She explains that in the past she has been given morphine for the pain and prefers to use a patient controlled analgesia (PCA) pump. Her blood work reveals the following values: white blood cell count (WBC) 18,000, Red Blood Cell count (RBC) 3/106, Mean Corpuscular Volume (MCV) 70 um3 , Red Cell Distribution width (RDW) 20.4%, hemoglobin (Hgb or hg) 7.5 g/dL, hematocrit 21.8%, and reticulocyte count 23%. Ms. Fox is admitted for pain management antibiotic treatment and respiratory support. QuestionsThree types of anemia are hypo proliferative, bleeding and hemolytic. Provide a basic definition of the etiology of each type and one example of each type. 2. Discuss how Ms. Fox’s laboratory results are consistent with clients who have sickle cell anemia. 3. Describe the structure and function of normal red blood cells in the body. 4. Describe the structure and effects of RBC’s that contain sickle cell hemoglobin molecules. 5. Is sickle cell anemia an inherited anemia or an acquired anemia? Explain. 6. Discuss the characteristic signs and symptoms of sickle cell anemia. 7. Discuss the potential complications associated with sickle cell anemia. 8. Describe the pharmacologic management for a client with sickle cell anemia. Include a discussion of the potential adverse effects of the medication. 9. Briefly describe the use of transfusion therapies for management for sickle cell anemia. 10. What type of complication is most congruent with Ms. Fox presenting signs and symptoms? 11. Discuss the symptoms the nurse should look for while completing an assessment of a client in potential sickle cell (vaso-occlusive) crisis. 12. Briefly discuss the factors that can trigger a sickle cell crisis. 13. Prioritize three potential nursing diagnosis for Ms. Fox. 14. Describe the nursing management goals during the acute phase of a sickle cell crisis. 15. Explain why individuals with sickle cell disease may be at risk for substance abuse. Health Science Science Nursing NURSING 2571 Share QuestionEmailCopy link Comments (0)
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