Heme Case Study #2 The client is a 39 y.o. African American man who…
Question Answered step-by-step Heme Case Study #2 The client is a 39 y.o. African American man who… Heme Case Study #2The client is a 39 y.o. African American man who has sickle cell disease, sometimes called sickle cell anemia, marked by frequent episodes of severe pain. His anemia has been managed with multiple transfusions and he started showing signs of chronic renal failure 6 months ago. His regular meds are pentoxifylline (Trental), Oxycodone/acetaminophen (Percocet), hydroxyurea (Droxia), and folic acid. He received 2 units packed RBCs over 3 hours and then went home. He developed dyspnea and shortness of breath approx. 90 min later, and his wife called 911. The EMS crew initiated oxygen and transported him to the ED.1. What is SCD and how is it related to race?2. Identify mechanisms that contribute to anemia in SCD patients?a.b.When the client arrives at the ED, the physician asks if he is in pain and if he needs pain meds. He answers no to both questions. 3. Why did the physician ask these questions?4. The patient complains of being short of breath. Why do you think this is? You perform a quick assessment and note a systolic murmur and crackles in the client’s bases bilaterally. VS: BP 176/102, HR 94, RR 28, T 97.8 F. Acting according to the standing orders for your facility, you start an IV and draw blood for a CBC with differential, BMP, Calcium, Phosphorous and sent it for analysis.5. Name four findings that are consistent with fluid overload?a.b.c.d.6. What order would you anticipate next?The client voids 1900 ml within 2 hours of receiving Lasix. As his dyspnea is relieved, he shakes the physician’s hand and thanks him for his care. Health Science Science Nursing NUR 106 Share QuestionEmailCopy link Comments (0)
