Hey guys. So I am doing a Sickle Cell Anemia research paper/case study and I seem to be stuck on this one question. "Discuss how these lab results are consistent with patients who have SCA". The lab results are as follows:
white blood cell count (WBC) 18 x 109/L (higher than norms)
red blood cell count (RBC) 3x1012/L (lower than norms)
hemoglobin (Hgb) 75 g/L (lower than norms)
hematocrit (Hct) 0.218 (lower than norms)
reticulocyte count 0.23 (lower than norms)
ABG'S
pH 7.54 (alkalosis)
PaCO2 32 (lower than norms)
HCO3 22 (in range)
PaO2 87 (in range, but on the low end)
I understand why the RBC, Hgb, Hct, retic count, and WBC count are outside of norms considering the diagnosis, but I don't understand why the ABG's are affected. All thoughts are appreciated!
Dear nurse, I see you're being a typical intolerant nurse. These SCD patients need your help, not your judgments, or your semi-racial bias. Yeah, some SCD patients are addicted, but people like you make their disease worse! In fact, attitudes like that can kill these patients, unless that's what you want huh, dead SCD patients. Stay away from racist nurses and doctors who badmouth these patients. Lead, not follow. If you hate SCD patients that much, take up another career. See, you are part of the problem, when you should stick up for the patient, even when they're a problem. They act the way they do because of attitudes like yours. All their lives, they've had to fight to get respect, and you and your nurse pals had better give it to them, got that. How dare you treat them like that. A nurse is supposed to soothe, love, listen and learn from their patients. How would you like it if a stranger passed judgment on you? You're not fit to be a nurse. It takes a massive amount of patience, and you just don't have it. Tell us something. Is the Hippocratic oath just a joke to you? "First do no harm" doesn't mean much anymore does it?
Very impassioned speech. However, it has nothing to do with the focus of this thread, which involves a homework assignment concerning a patient with SCD, and is two years old, to boot. Didn't see anything about intolerance or addiction. DID see a lot about lab results and symptoms.
Also, the Hippocratic Oath is for physicians, not nurses. Nurses don't take any formal oath (the Florence Nightingale Prayer isn't a requirement).
I have a feeling you aren't a nurse, and have no idea what this thread is speaking to. You may just want to back out of the room slowly, and keep what's left of your dignity intact.
Dear nurse, I see you're being a typical intolerant nurse. These SCD patients need your help, not your judgments, or your semi-racial bias. Yeah, some SCD patients are addicted, but people like you make their disease worse! In fact, attitudes like that can kill these patients, unless that's what you want huh, dead SCD patients. Stay away from racist nurses and doctors who badmouth these patients. Lead, not follow. If you hate SCD patients that much, take up another career. See, you are part of the problem, when you should stick up for the patient, even when they're a problem. They act the way they do because of attitudes like yours. All their lives, they've had to fight to get respect, and you and your nurse pals had better give it to them, got that. How dare you treat them like that. A nurse is supposed to soothe, love, listen and learn from their patients. How would you like it if a stranger passed judgment on you? You're not fit to be a nurse. It takes a massive amount of patience, and you just don't have it. Tell us something. Is the Hippocratic oath just a joke to you? "First do no harm" doesn't mean much anymore does it?
Specializes in ER/Tele, Med-Surg, Faculty, Urgent Care.
Dear nurse, I see you're being a typical intolerant nurse. These SCD patients need your help, not your judgments, or your semi-racial bias. Yeah, some SCD patients are addicted, but people like you make their disease worse! In fact, attitudes like that can kill these patients, unless that's what you want huh, dead SCD patients. Stay away from racist nurses and doctors who badmouth these patients. Lead, not follow. If you hate SCD patients that much, take up another career. See, you are part of the problem, when you should stick up for the patient, even when they're a problem. They act the way they do because of attitudes like yours. All their lives, they've had to fight to get respect, and you and your nurse pals had better give it to them, got that. How dare you treat them like that. A nurse is supposed to soothe, love, listen and learn from their patients. How would you like it if a stranger passed judgment on you? You're not fit to be a nurse. It takes a massive amount of patience, and you just don't have it. Tell us something. Is the Hippocratic oath just a joke to you? "First do no harm" doesn't mean much anymore does it?
You're responding to a post that's over two years old. No where was the response worthy of your attack it was a simple pathophysiology answer it wasn't racist. Your response was horrible. Are you a nurse?? Where exactly was there any "judgment"?
Jensmom7, BSN, RN
1,907 Posts
Very impassioned speech. However, it has nothing to do with the focus of this thread, which involves a homework assignment concerning a patient with SCD, and is two years old, to boot. Didn't see anything about intolerance or addiction. DID see a lot about lab results and symptoms.
Also, the Hippocratic Oath is for physicians, not nurses. Nurses don't take any formal oath (the Florence Nightingale Prayer isn't a requirement).
I have a feeling you aren't a nurse, and have no idea what this thread is speaking to. You may just want to back out of the room slowly, and keep what's left of your dignity intact.