Nursing care plan for polycythemia

Polycythemia is a chronic disorder characterized by excessive production of red blood cells RBCsnursing care plan for polycythemia, platelets, and myelocytes. As these increase, blood volume, blood viscosity, and hemoglobin Hb concentration increase, causing excessive workload for the heart and congestion of some organs e. Secondary polycythemia results from an abnormal increase in erythropoietin production e. Polycythemia vera is a primary disorder arising from a chromosomal mutation a single recurrent JAK2 mutation most often affecting men of Jewish descent, with onset in late midlife.

Background: Polycythemia vera PV is a chronic myeloproliferative neoplasm, which is a threat to life. Teamwork is needed during the process of treatment and care of patients suffering from PV, which is a chronic illness. Especially, important roles fall to the nurses within the team. Objective: The purpose of this article is to assess the symptoms in connection with PV and the treatment and the difficulties which have been experienced, in accordance with the System for the Categorisation of Nursing Diagnoses of the North American Nursing Diagnosis Association NANDA and present possible nursing diagnoses and the management of symptoms according to these diagnoses. The approaches directed at the nursing diagnoses which have been determined in the article, are based on the papers from peer-reviewed publications, books, guidelines and the recommendations made by medical professionals. Results and conclusion: The important nursing diagnosis related with PV are altered gas exchange, altered tissue perfusion, fatigue, high risk of injury, high risk of infection, deterioration of comfort itching , high risk of impaired skin integrity and pain.

Nursing care plan for polycythemia

If your doctor suspects that you have polycythemia vera, he or she might recommend collecting a sample of your bone marrow through a bone marrow aspiration or biopsy. A bone marrow biopsy involves taking a sample of solid bone marrow material. A bone marrow aspiration is usually done at the same time. During an aspiration, your doctor withdraws a sample of the liquid portion of your marrow. In a bone marrow aspiration, a health care provider uses a thin needle to remove a small amount of liquid bone marrow, usually from a spot in the back of your hipbone pelvis. A bone marrow biopsy is often done at the same time. This second procedure removes a small piece of bone tissue and the enclosed marrow. If you have polycythemia vera, analysis of your bone marrow or blood might show the gene mutation that's associated with the disease. There's no cure for polycythemia vera. Treatment focuses on reducing your risk of complications. These treatments may also ease your symptoms.

This decreases your blood volume and reduces the number of excess blood cells. Prevent constipation by increasing dietary fiber and consuming adequate fluids; a stool softener may be needed. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, nursing care plan for polycythemia, treat or manage this condition.

Nursing Diagnoses associated with CBC results. Until the mid's, neutropenic patients were placed in reverse isolation. Newer protocols recommended by the Centers of Disease Control CDC emphasize strict handwashing as the most significant means of protecting a neutropenic patient from infection. Exposure to people with upper respiratory infections or other infectious diseases should be eliminated. It is important for the patient to have excellent personal hygiene and the patient's environment must be controlled to eliminate potential bacterial sources of infection.

Patients with Polycythemia vera may experience difficult-to-manage symptoms such as headaches, dizziness, vision disturbances, and fatigue. For these reasons, healthcare professionals must understand polycythemia vera management and how they can help provide quality care to those affected by this life-long condition. Polycythemia vera is a chronic and progressive blood disorder characterized by increased red blood cell production. This rare disease carries an increased risk of stroke and heart attack due to the thickening of the red blood cells resulting from this condition. A malignant DNA mutation in a single bone marrow cell causes polycythemia vera.

Nursing care plan for polycythemia

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Polycythemia vera treatment algorithm Goldman L, et al. Hydroxyurea: MedlinePlus Drug Information. About Mayo Clinic. The most common treatment for polycythemia vera is having frequent blood withdrawals, using a needle in a vein phlebotomy. Bone marrow biopsy. Decreased platelet count High risk for injury related to increased potential for bleeding Teaching patients how to decrease their risk for bleeding is a critical nursing function. How severe are your symptoms? When a patient is severely neutropenic, the nurse has a critical role in protecting the patient from drugs that cause further neutropenia. Ruxolitinib Jakafi. Financial Assistance Documents — Minnesota. Additionally, hyperuricemia can occur due to the large number of RBCs being produced. Objective: The purpose of this article is to assess the symptoms in connection with PV and the treatment and the difficulties which have been experienced, in accordance with the System for the Categorisation of Nursing Diagnoses of the North American Nursing Diagnosis Association NANDA and present possible nursing diagnoses and the management of symptoms according to these diagnoses. Secondary polycythemia occurs due to chronic hypoxemia.

Polycythemia is a chronic disorder characterized by excessive production of red blood cells RBCs , platelets, and myelocytes. As these increase, blood volume, blood viscosity, and hemoglobin Hb concentration increase, causing excessive workload for the heart and congestion of some organs e. Secondary polycythemia results from an abnormal increase in erythropoietin production e.

May be increased because of increased nucleoprotein, an end product of RBC breakdown. Mayo Clinic Alumni Association. Busulfan Busulfex is another antineoplastic medication that is taken PO. Request an appointment. Rare Disease Database. The nurse can help the patient obtain maximum benefit by teaching when to take iron supplements and what substances interfere with iron absorption. There's no cure for polycythemia vera. In addition, there is potential for this disorder to evolve into other hematopoietic disorders, such as myelofibrosis and acute leukemia. Lengfelder, E. Prognosis and treatment of polycythemia vera. Medical Professionals. Poor blood flow increases your risk of injury from hot and cold temperatures. Alteration in nutritional requirements.