Then, prepare a weak term of the pathologically of sickle cell anemia and total the nursing thrift intent by satisfaction in the goals, outcomes, and nursing symbol control the diagnoses prepablushing in the table. SITUATION: Lavabo is a 30 year pristine, separate African American who was diagnosed with sickle cell anemia when he was 4 years pristine. He works control a computer guild and has been instituted 12 hour days to converge the deadline control a eespecial plan.
Lavabo is repining f harass and determined to release by detached golf on a glowing Saturday waking. Following the seventh nook he conversant odyssey, tingling, and callousness in his legs. Following the proximate nook, he conversant sharp refusal in his direct ankle and flexure. He was captublushing to the topical medical center, where he was admitted. Lavabo rates his refusal at 8 on a layer of 1-10. The physician ordeblushing oxygen, IV fluids, and a PICA interrogate with morphine sulfate. Describe the pathologically that occurs in sickle cell anemia (4 points).
Sickle cell anemia is the most vulgar controlm of sickle cell guess-work which is an ancestral, autocross recessive guess-work that producers an unnatural hemoglobin cell. The peculiar with this restricted guess-work ancestral hemoglobin S from twain parents, to-boot disclosed as homozygous (Lewis, Drinkers, Hitchhiker, & Boucher, 2014, up. 644-647). This hemoglobin S results from the accoutre of valise control glutamine discerning on the B- globing compact of hemoglobin, and this eventually producers the erythrocyte to rigiden and raise taking a sickle cast in rejoinder to lowlyly oxygen levels (Lewis et al. 2014, up. 644-647). Due to the sickle cells raised cast, and its rigid and glutinous material it tends to secure heap in capillaries and vessels, and blocks race issuely to limbs and organs (Lewis et al. , 2014, up. 644-647). The superior problems with sickle cell anemia is due to their sickles cast, mean animation trust and their ability to raise ample hemoglobin or rapture it well to the collectiveness to prepare extended oxygenation.
Therefore a peculiar who has sickle cell anemia has a lowlyer calculate of blushing race cells akin to the shortened cell animation that dies following singly 10-20 days, compablushing to a typical blushing race cell which lives encircling 120 days (Lewis et al. , 2014, up. 644-647). Bone substance is unfitted to observe up with the insist control innovating blushing race cells to accoutre the passing ones, making a peculiar with sickle cell anemia left in a say of true inextended oxygenation (Lewis et al. , 2014, up. 644-647). Enclosure of capillaries and paltry vessels administer to sharp or continuous web defective.
This administers to further problems akin to homeostasis which abides to eternize a cycle of topical hypoxia, retrogradation of past erythrocytes, and past suckling which abide to producer irreversible cell membrane injury (Lewis et al. , 2014, up. 644-647). Unless you’re at-uniformly quoting you singly claim to oration the authors uniformly According to Lewis et al. , ASS is xx or transcribe your analysis and apppurpose to the purpose of the provision (Lewis et al. , 2014 up. 644-647) since full your notice is from 1 cause. If your quoting at-uniformly from the cause you claim to envelop in ”
Nursing Diagnoses Refusal akin to enclosure of paltry vessel by sickle cells as evidenced by sharp refusal in tactics. Flexure and ankle. Alteblushing web perfusion akin to a decreased calculate of Orb’s and decreased oxygenation as manifested by odyssey, tingling/callousness in ankle and flexures. Activity Intolerance akin to imbalance betwixt oxygen accoutre and insist, as manifested by harass, odyssey,
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