© 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! When platelet count falls below 10000 platelets per micro liter severe brain or gastrointestinal bleeding occur. Related tests include platelet aggregation, platelet antibody, platelet count, clot retraction, bleeding time. Monitoring for side effects of the prescribed medications and their interactions with other drugs. Administer medication like steroids, IVIG, Rituximab as ordered. Instruct client to avoid nose blowing and keep hydrate nasal mucosa with nasal drop. Low platelet count due to impaired production is generally due to problems with the bone marrow-. Use sodium bicarbonate washes to neutralize acid in the patient’s. We use cookies to ensure that we give you the best experience on our website. Apply gentle prolonged pressure to venous and arterial or bone marrow aspiration site. Normal anion gap acidosis is associated with loss of bicarbonate form the body, as may occur in renal tubular acidosis, hyperalimentation, vomiting/diarrhea, small-bowel/pancreatic fistulas, and ileostomy and use of IV sodium chloride in presence of preexisting kidney dysfunction, acidifying drugs (e.g., ammonium chloride). Get the complete list! A normal human platelet count ranges from 150000 to 450000 micro liter of blood. High anion gap acidosis occurs in diabetic ketoacidosis; severe malnutrition or starvation, alcoholic lactic acidosis; renal failure; high-fat, low-carbohydrate diets/lipid administration; poisoning, e.g., salicylate intoxication (after initial stage); paraldehyde intoxication; and drug therapy, e.g., acetazolamide (Diamox), NH4Cl. Nursing Interventions for Thrombocytopenia Disease: Various nursing intervention for thrombocytopenia disease are mentioned in the following: Assess the Patient for any sign symptoms of unusual bleeding, such as- Epistaxis, Hemoptysis, Gingival bleeding, Purpura.
Patient Preparation. Finding help online is nearly impossible. Idiopathic Thrombocytopenic Purpura (ITP). Which of the following nursing interventions is most appropriate in this situation? Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, abnormal bicarbonate losses, which can occur in loss of fluid from the lower GI tract from. Avoid any intramuscular or subcutaneous injection. Corticosteroids -Try to increase platelet count.
Thrombocytopenia (low platelet count) Causes. Kindly check your mailbox and confirm your subscription. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. This is an exchange transfusion involving removal of the patient’s blood plasma and replacement with donor plasma and used to treat Thrombotic Thrombocytopenic purpura (TTP). Clinical Implications. Monitor intake output carefully to evaluate renal function. Use a soft bristle tooth brush and avoid dental floss. Notify me of follow-up comments by email. 5 Tips for Taking Care of Your Body | Vitamins vs Minerals, Recovery From Home: How Outpatient Rehab Works and Its Benefits. If the primary problem is the accumulation of organic anions (such as ketones or lactic acid), the condition is known as high anion gap acidosis. She has great passion in writing different articles on Nursing and Midwifery. Mail her at. Thrombocytopenia disease is a condition in which relatively platelet counts low in the blood. His platelet count is 90,000/mcL. Therapeutic Communication Techniques Quiz. Rho D immune globulin (WinRho)- it is alternate to traditional IVIG. Maria Katun Mona is a Nursing and Midwifery Expert. Thrombocytopenia: Symptoms and Low Platelet Count. Compensatory mechanisms to correct this imbalance include an increase in respirations to blow off excess CO2, an increase in ammonia formation, and acid excretion (H+) by the kidneys, with retention of bicarbonate and sodium. You may also like the following posts and care plans: Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet.
Use small gauge needle when performing venous or arterial punctures. Transfuse blood cells (Platelets, fresh frozen plasma or Packed Red Blood Cell) as ordered.
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