Question

1- What are the risk factor for the development of sickle cell anemia ?

2- What are nursing interventions regarding the care of this patients?

3- What are complications from the condition?

4- How is the condition treated and what teaching education is appropriate?

5- What are signs and symptoms presented?

6- What is a Splenic sequestration?

Answer 1

1) There are various risk factors for the sickle cell anemia. They are as follows:

* Ethnic factors: people of African descent, Hispanic Americans from Central and South America, people of middle eastern,Asian, Indian and Mediterranean descent.

* Genetic factors: The children who receives one abnormal gene from each parents can have sickle cell disease.

2) Nursing interventions:

* Administer and monitor RBC transfusions.

* Conduct pain assessment.

* Encourage fluid intake.

* Obtain thorough medication history.

* Conduct respiratory assessment, neurological assessment, abdominal pain assessment etc.

3) Complications:

* Stroke

* Acute chest syndrome.

* Pulmonary hypertension.

4) Treatment of sickle cell anemia:

* Medication such as hydroxyurea,pain killers,voxelotor etc

* Blood transfusion

* Stem cell transplant

5) signs and symptoms:

* Arthritis

* Eye involvement

* GI tract symptoms

* Renal disease

* Anema