1st Semester Clinicals - Nursing Interventions

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    Does anyone know of some good internet resources for looking up Nursing Interventions according to Diagnosis or Nursing Diagnosis?
    I am particularly stumped on finding interventions for a resident with "Thrombocytosis" which is high platelet count in the blood.
    Our instructor requires 2 interventions for each medical diagnosis. The only signs and symptoms of this disease are lab values. I cannot come up with a "practical" intervention to deal with this disorder. I did see an article indicating bleeding from gums and gastrointestinal bleeding are associated with this. Help!!

    Thank you VERY much, in advance!
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    the only cross reference i saw on the internet was in the ackley/ladwig care plan constructor (i given you a link to it below), but i believe they have changed the way the website is arranged and it may no longer do that. these two medical dictionaries have cross references in them:
    what other information do you have about this resident? thrombocyctosis is something that generally does not exist on its own, but is a symptom of another medical problem:

    • severe hemorrhage
    • iron deficiency anemia
    • surgery
    • post splenectomy (transient)
    • malignancy
    • inflammatory bowel disease
    • recovery from acute infection
    • drugs
    • epinephrine
    • vincristine
    • alcohol abuse
    • pancreatitis
    • cirrhosis
    • hemophilia

    http://www.merck.com/mmpe/sec11/ch14...141-ch141b-678 - essential thrombocythemia (essential thrombocytosis; primary thrombocythemia)
    "thrombocytosis (secondary thrombocythemia)

    thrombocytosis can develop secondary to chronic inflammatory disorders, acute infection, hemorrhage, iron deficiency, hemolysis, or tumors (see table 2: myeloproliferative disorders: causes of thrombocytosis). platelet function is usually normal. however, in myeloproliferative disorders, abnormalities of platelet aggregation occur in about 50% of patients. unlike et, thrombocytosis does not increase the risk of thrombotic or hemorrhagic complications unless patients have severe arterial disease or prolonged immobility. with secondary thrombocytosis, the platelet count is usually < 1,000,000/μl, and the cause may be obvious from the history, physical examination, or radiologic or blood testing. treatment of the underlying disorder usually returns the platelet count to normal."
    http://www.mayoclinic.com/health/thr...themia/ds01087 - treatment and care of thrombocythemia
    http://www.nhlbi.nih.gov/health/dci/...thrm_what.html
    http://www.leukemia-lymphoma.org/att...1178803674.pdf - essential or primary thrombocythemia

    nursing interventions treat the patient's symptoms, not their medical disease.
    Amy'sGrandbaby and julbug75 like this.
  5. 0
    Thank you so much for the help, resources and advice!!
    It is GREATLY appreciated!


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