Nursing care plan for polycythemia

Though rare, MPNs are serious conditions that are caused by overproduction or proliferation of bone marrow stem cells.

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.

Nursing care plan for polycythemia

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. Potential sources of infection include stagnant water and diets that contain fresh fruit or raw vegetables. Any procedure that might cause a break in the skin, such as intravenous or intramuscular injections, medications given by suppository, rectal temperatures or enemas, increase the risk of infection in a neutropenic patient. Instant Feedback:. Visit this link for Dr. It is important to maintain adequate hydration. Keeping a patient with a high RBC count dehydrated, such as being NPO for an extended time, may increase risk of venous thrombosis formation.

Assess for presence of headache, angina, abdominal pain, and joint pain. Non-pharmacologic treatments include: Early ambulation and ROM to improve blood flow and help prevent thrombotic events.

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.

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Nursing care plan for polycythemia

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.

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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. This causes an increase in erythropoietin EPO , which leads to the overproduction of red blood cells in an attempt to provide the tissues with adequate oxygen. For symptomatic patients, the recommendation is for cytoreductive therapy. This phase is characterized by an enlarged spleen splenomegaly , low blood counts, and bone marrow fibrosis. You're likely to start by seeing your primary care physician. Use of needles and invasive procedures should be minimized. Being a successful nursing student is more than just study tips and test strategies. Teaching a patient who is taking anti-coagulants should include both preventing bleeding episodes and recognizing signs and symptoms of bleeding. Use lotion to keep your skin moist. Treatment strategies for polycythemia vera: Observations in a Dutch "real-world" cohort study. Explore careers. Get Clinical Tree app for offline access. Your doctor will also likely prescribe medications to control risk factors for heart and blood vessel disease, including high blood pressure, diabetes and abnormal cholesterol.

Polycythemia is a chronic disorder characterized by excessive production of red blood cells RBCs , platelets, and myelocytes.

Memorial Sloan Kettering Cancer Center. Get Clinical Tree app for offline access. Find a doctor. European Journal of Haematology. Over time, the spleen grows larger and may need to be removed. The nurse should consult with the patient's physician about which drugs should be withheld if the patient's neutrophil count drops below an established absolute number. It is important to note there is no cure for polycythemia vera. 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. Rare Disease Database. A bone marrow biopsy is often done at the same time.