Quick, give me a Nurs Dx for Sickle Cell Anemia

  1. i have:
    pain
    ineffective tissue perfusion
    anxiety
    knowledge deficit

    would risk for infection be a good dx for sickle cell?
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  2. 10 Comments

  3. by   theblondeone
    Quote from Wheaties
    i have:
    pain
    ineffective tissue perfusion
    anxiety
    knowledge deficit

    would risk for infection be a good dx for sickle cell?
    two biggies: activity intolerance and impaired gas exchange!
    Often a sickle cell crisis is brought on by an increase in demands on the body for energy or by fatigue. The crisis occurs when red blood cells basically deflate becoming misshapen and can't hold enough hemoglobin to adequately oxygenate tissues.
  4. by   mitchsmom
    yep, a book I have says:

    impaired gas exchange
    acute pain
    ineffecitve tissue perfusion: peripheral
  5. by   Wheaties
    thnx for the advice.

    now i need to prioritize my diagnosis in terms of the most important starting with the one that needs immediate attention, i have this right now, feel free to add a comment if you think its wrong, i would appreciate that:

    1. pain
    2. Ineffective tissue perfusion (provide O2 immediately)
    3. Ineffective airway clearance (teach client to cough up sputum to clear airway)
    4. Risk for infection
    5. Anxiety
    6. Knowledge deficit
  6. by   theblondeone
    When prioritizing remember your ABC's!!!
  7. by   Catma63
    When doing a nursing diagnosis, remember to do it according to what your patient would care about most. Think sickle-cell=pain. Pain would be #1 in priorities. They are also at risk for infection, impaired skin integrity, etc
  8. by   Brickman
    1. Altered tissue perfusion
    2. Pain

    Every Sickle cell patient I have had has complained of pain 9/10 or 10/10 no matter how much pain meds they were on. The pain usually is in the joints and it is apparently realy hard to control.
  9. by   RNKITTY04
    Our school teaches us that Risk for: infection or safety always comes first when listing priority's. Dunno maybe just my school.
  10. by   Marie_LPN, RN
    Impaired gas exchange is a biggie.
  11. by   nurseshawna
    Our school teaches us that Risk for: infection or safety always comes first when listing priority's. Dunno maybe just my school.
    really? ours said actual would come before risks.

    wonder what each of their rationales would be for telling what they do! lol
  12. by   RNKITTY04
    Ok got my NCP guidelines from class : It says and I quote:"Nursing diagnosis are to be prioritized. Develop all your identified, prioritized nursing diagnosis.
    Actual problems have priority over risk-for problems except for safety and infection." Does this sound right to you guys? Our teacher is new this year, I just want to make sure that we are being taught correctly.
    Thanks for any input.

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