To replace blood lost with transfusions of packed red blood cell or platelets. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, abnormal bicarbonate losses, which can occur in loss of fluid from the lower GI tract from. Successfully Subscribed. 50+ Tips & Techniques on IV... IV Fluids and Solutions Guide & Cheat Sheet (2020 Update), Cranial Nerves Assessment Chart and Cheat Sheet, Diabetes Mellitus Reviewer and NCLEX Questions (100 Items), Drug Dosage Calculations NCLEX Practice Questions (100+ Items), Plans of care specific to predisposing factors, Respiratory acidosis (primary carbonic acid excess), Respiratory alkalosis (primary carbonic acid deficit), Pulse may be weak, irregular (dysrhythmias), Decreased deep-tendon reflexes, muscle weakness. Which of the following nursing interventions is most appropriate in this situation? Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. [1], [2]. Pagana Kathleen D, Pagana Timothy J (2006), Blood Chemistry and CBC Analysis: Clinical Laboratory Testing from a Functional Perspective, is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Platelet is an important blood cell that helps to stop bleeding by clamping and forming plugs in blood vessel injuries. Monitoring for side effects of the prescribed medications and their interactions with other drugs. See Also. Assess the Patient for any sign symptoms of unusual bleeding, such as- Epistaxis, Hemoptysis, Gingival bleeding, Purpura. Rho D immune globulin (WinRho)- it is alternate to traditional IVIG. Low platelet count due to impaired production is generally due to problems with the bone marrow-. Thrombotic Thrombocytopenic Purpura (TTP). Related tests include platelet aggregation, platelet antibody, platelet count, clot retraction, bleeding time. Thrombocytopenia (low platelet count) Causes. Some Medications such as heparin, quinine, sulfa-containing antibiotics and anticonvulsants). Serum potassium levels: above 5.5 mEq/L from chemical buffering. MPV is used in the evaluation of platelet disorders, especially thrombocytopenia. Thrombocytopenia and Platelet Function Disorders. How to Start an IV? During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Thrombocytopenia disease happens when number of count falls under 150,000 micro liter. Metabolic Acidosis is an acid-base imbalance resulting from excessive absorption or retention of acid or excessive excretion of bicarbonate produced by an underlying pathologic disorder. Finding help online is nearly impossible. Nurse Salary 2020: How Much Do Registered Nurses Make? Monitor intake output carefully to evaluate renal function. If you don't see the email within a few minutes, check the spam/junk folder. Mail her at. Idiopathic Thrombocytopenic Purpura (ITP). 5 Tips for Taking Care of Your Body | Vitamins vs Minerals, Recovery From Home: How Outpatient Rehab Works and Its Benefits. This condition does not occur in isolation but rather is a complication of a broader problem that may require inpatient care in a medical-surgical or subacute unit. Transfuse blood cells (Platelets, fresh frozen plasma or Packed Red Blood Cell) as ordered. Arrange and vaccinated patient against some disease such as mumps, measles, rubella and chickenpox. Continue to administer the heparin as … You may also like the following posts and care plans: Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! She has great passion in writing different articles on Nursing and Midwifery. Instruct the patient to do not walk in bare fee. Get the complete list! Watch out for signs of decreasing level of consciousness. Monitor platelet and coagulation test results and report for any abnormal values. Prepare for possible seizures and administer appropriate precautions. If you continue to use this site we will assume that you are happy with it. Keep high fowlers position if epistaxis present and apply pressure and ice pack to nasal area. Metabolic acidosis is characterized by normal or high anion gap situations. Apply gentle prolonged pressure to venous and arterial or bone marrow aspiration site. Avoid medicines that you know have decreased your platelet count in the past. Avoid cutting nails, shaving with sharp blade. This surgery mostly is used for adults who have immune thrombocytopenia (ITP). Evaluation and correction of electrolyte imbalances and ultimately correction and management of the underlying cause. Blood test (CBC, PT, PTT, Peripheral blood smear, liver enzymes, kidney function, vitamin B12, folic acid levels). Monitor vital signs, laboratory results and level of consciousness frequently. HELLP Syndrome (Hemolysis, Elevated Liver Tests, Low Platelets). Symptoms result from the body’s attempts to correct the acidotic condition through compensatory mechanisms in the lungs, kidneys and cells. Plan in place to meet needs after discharge. Normal anion gap acidosis is associated with loss of bicarbonate form the body, as may occur in renal tubular acidosis, hyperalimentation, vomiting/diarrhea, small-bowel/pancreatic fistulas, and ileostomy and use of IV sodium chloride in presence of preexisting kidney dysfunction, acidifying drugs (e.g., ammonium chloride). Intravenous immunoglobulin (IVIG) – Attempt to decrease the severity of auto immune disease and in acute infection. Use sodium bicarbonate washes to neutralize acid in the patient’s. Rituximab -used to treat lymphoma, Leukemia’s, Auto immune disorder after spleenectomy. Use of some medication: Chloramphenicol, Gold, Phenytoin (Dilantin), Valproic acid. When platelet count falls below 10000 platelets per micro liter severe brain or gastrointestinal bleeding occur. Encourage patient to give up alcoholism because these can worse bleeding problem. For management of vomiting (common to metabolic acidosis), position the patient to prevent. Infection especially septicemia (Viral or Bacterial injects, Rubella, Mumps, Varicella, EBV). Condition, prognosis, and treatment needs understood. Therapeutic Communication Techniques Quiz. Avoid any per rectal medication (Suppository) enemas, vaginal douches. If the primary problem is direct loss of bicarbonate, gain of chloride, or decreased ammonia production, the anion gap is within normal limits. Avoid any anti-coagulant drugs without any doctor’s approval. Metabolic Acidosis is an acid-base imbalance resulting from excessive absorption or retention of acid or excessive excretion of bicarbonate produced by an underlying pathologic disorder. Chemicals such as pesticides. The following two tabs change content below. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Avoid any intramuscular or subcutaneous injection. Use a soft bristle tooth brush and avoid dental floss. The causes of thrombocytopenia disease can be inherited or caused by a number of medications or conditions. Fasting is not required for the test. Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. The mean platelet volume (MPV) test is a measure of platelet volume which varies with total platelet production. Patient Preparation. Main Article: Metabolic Acidosis Nursing Care Plan. Kindly check your mailbox and confirm your subscription. Provide good oral care (using oral swabs, a normal saline rinse, or other mouthwash as appropriate) helps to keep mucous membranes moist and minimize bleeding. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Instruct the patient to avoid wear tight clothing. Compensatory mechanisms to correct this imbalance include an increase in respirations to blow off excess CO2, an increase in ammonia formation, and acid excretion (H+) by the kidneys, with retention of bicarbonate and sodium. Instruct patient to Avoid contact sports and other activities that might cause injury. A client who is receiving heparin for a history of blood clots has developed heparin-induced thrombocytopenia. MPV is used in the evaluation of platelet disorders, especially thrombocytopenia.. High levels indicate: Valvular heart disease Nursing Interventions for Thrombocytopenia Disease: Various nursing intervention for thrombocytopenia disease are mentioned in the following: Assess the Patient for any sign symptoms of unusual bleeding, such as- Epistaxis, Hemoptysis, Gingival bleeding, Purpura. Thrombocytopenia disease is a condition in which relatively platelet counts low in the blood. If the primary problem is the accumulation of organic anions (such as ketones or lactic acid), the condition is known as high anion gap acidosis. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Let us know if you have found this post helpful. Use small gauge needle when performing venous or arterial punctures. Keep bed lower position with side rails up to prevent patient fall. Petechiac (Reddish purple spot rush under skin). Various nursing intervention for thrombocytopenia disease are mentioned in the following: Save my name, email, and website in this browser for the next time I comment.