Sickle Cell Anemia (Online Lecture) Flashcards

1
Q

how do you get sickle cell

A

inherited

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2
Q

what do sickle cell RBC look like

A

hard and pointed, not round

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3
Q

how long do sickle cells live for

A

10-20 days

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4
Q

if sickle cells only live for 10-20 days what other issue is present

A

anemia

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5
Q

sickle cell trait

A

individual has inherited the gene for sickle cell, will not develop into the disease
however sickle cell mom and dad will equal sickle cell child

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6
Q

average life expectancy

A

40 years

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7
Q

sickle cell cure

A

no clue, close is a bone marrow transplant

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8
Q

what type of anemia is sickle cell

A

hemolytic

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9
Q

what are some things that can exacerbate sickle cell crisis

A

low O2 levels
dehydrated
cold temp

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10
Q

example of low O2

A

mountain climbing

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11
Q

why does dehydration affect sickling

A

increased blood viscosity

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12
Q

why does cold temp impact sickling

A

vasoconstriction and slows blood flow

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13
Q

when sickle cells are crystalized they stick to endothelial and decrease blood flow which results in

A

ischemia/injury/infarction

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14
Q

what can revert cells back to normal shape

A

oxygen

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15
Q

when the blood vessel is inflamed this predicates

A

more sickling

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16
Q

sickle cell crisis

A

cells become sticky and reduce blood flow and oxygen

17
Q

why would these patients appear jaundice

A

hemolysis

18
Q

chronic manifesations

A

sudden, unpredictable, and intense pain
kidney failure
ongoing respiratory problems
risk for stroke
damage to hip bones
prolonged errections
damage to blood vessels int he eyes
increased risk of depression, anxitey
difficulty with mental tasks

19
Q

anemia common s/s

A

fatigue
short of breath
pale
cold
dizzy
headache

20
Q

what are these patients at risk for

A

infection
- esp if spleen is removed

21
Q

recommendation for these patients

A

wash hands
get vaccines
avoid very hot and cold
stay hyrdated

22
Q

what meds might be given in crisis

A

opioids

23
Q

what should be known about these patients before giving opioids

A

they might have a tolerance

24
Q

transfusions can do what

A

decrease pain
help improve anemia

25
Q

what does hydroxurea do

A

prompts the body to make fetal hemoglobin
- this is newborn hemoglobin which helps RBC from sickling

26
Q

why is blood loss significant in these patients

A

already anemic

27
Q

nursing interventions

A

pain management
infection prevention

28
Q

what is priority for these patients

A

pain

29
Q

what influences how people describe pain or behave in pain

A

culture and ethnicity

30
Q

is pain perception the same in everyone

A

no

31
Q
A