Nursing Interventions For The Patient Experiencing Thrombocytopenia Related – Flashcards
Unlock all answers in this set
Unlock answersquestion
150000-400000/mm3
answer
Normal platelet count
question
>75000
answer
Mild risk
question
50000-74999
answer
Moderate risk
question
25000-29999
answer
Moderately severe risk
question
<24999
answer
Severe risk
question
5-9 days
answer
Platelet life
question
Platelet count lower than 50000
answer
Bleeding precautions
question
When platelet count <20000
answer
Spontaneous bleeds
question
<10000
answer
Fatal bleeds
question
When counts are <1000-20000
answer
Platelet transfusion
question
Assess for signs of bleeding Unexplained bruising or bleeding (ecchymosis petechiae melena epigastric pain abdominal distension bleeding gums hemolysis menorrhagia decreased or absent bowel sounds joint pain swelling weakness
answer
Nursing interventions
question
VS oxygen neuro check loc with platelets <20000 q4hrs and prn avoid over inflating BP cuff
answer
Assessment
question
Teach manifestations of bleeding (tarry bloody stools, hematuria bloody sputum bloody vomit neurological changes manifestations of a stroke assess number of pads for heavy menstrual flow
answer
Education
question
Headache restlessness speech difficulties confusion Vision changes
answer
Manifestations of a stroke
question
No contact sports Prevent falls Soft bristle tooth brush drink water q2hrs Gently blow nose. Ice pack and firm pressure notify HCP if nose bleed last >10 minutes Electric shaver No rectal temps Don't pluck hair No tattoos
answer
Education continued
question
Periodic platelet CBC PT/INR aPTT fibrinogen clotting factors liver panel platelet transfusion
answer
Dx tests
question
Elevated temperature itching rash
answer
Side effects of platelet transfusion
question
Platelet growth factor
answer
Oprelvekin Numega
