Expected findings of SCD - ANSWER Jaundice, itching, hypoxia, clotting issues, and
pain
Interventions for SCD - ANSWER 1. Elevate HOB
2. Admin 02
3. Promote vasodilation
4. Hypotonic IV solutions 250 mL/ x 4 hrs
5. Prevent vasoconstriction
6. Frequent circulation checks ( pulses)
7. Monitor for infection
8. ROM as tolerated
9. RBC transfusion every 3-4 months
10. Monitor for SBD ( ulcers)
11. Pain Management ( opioids)
Teaching for SCD - ANSWER 1. Increase fluid intake
2. S/ sx of infection and prevention
, 3. Genetic Counseling
4. Proper clothing
5. Immunizations
6. Avoid large clouds
Priorities during SCD crisis - ANSWER 1. Hydrating
2. Perfusion
3. Oxygenation
4. Analgesia
Iron deficiency Anemia s/ sx - ANSWER General anemia s/ sx + fissures in corner of
mouth, spoon nails, and pica
Iron deficiency Anemia - ANSWER Due to loss of blood flow resulting in hypoxia or due
to poor dietary intake of iron
Interventions for iron deficiency anemia - ANSWER 1. Admin 02
2. Elevate hob
3. Promote food sources + routine iron supplement intake
4. Correct GI bleed if associated
5. Consultations : GI, social worker, dietician
Iron deficiency anemia priorities - ANSWER 1. Determine underlying cause
2. Treat problem
3. Prevent problem from occurring
Iron deficiency anemia teaching - ANSWER 1. Promote diet with iron-rich foods
2. Iron supplements
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