Nursing Students General Students
Published Mar 19, 2004
Wheaties
159 Posts
i have:
pain
ineffective tissue perfusion
anxiety
knowledge deficit
would risk for infection be a good dx for sickle cell?
theblondeone
65 Posts
i have:painineffective tissue perfusionanxietyknowledge deficitwould 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.
mitchsmom
1,907 Posts
yep, a book I have says:
impaired gas exchange
acute pain
ineffecitve tissue perfusion: peripheral
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
When prioritizing remember your ABC's!!!
Catma63
303 Posts
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
Brickman
129 Posts
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.
RNKITTY04
353 Posts
Our school teaches us that Risk for: infection or safety always comes first when listing priority's. Dunno maybe just my school.