![]() Encourage pursed lip breathing and deep breathing exercises. Reposition the patient by elevating the head of the bed and encouraging him/her to sit on an upright position. To increase oxygen levels while aiming to reduce the risk of drying out the lungs. Central cyanosis involving the mucosa may indicate further reduction of oxygen levels.Īssess the level of consciousness every hour using Glasgow coma scale (GCS).ĭecline in level of consciousness indicate worsening of hypoxia. Peripheral cyanosis (bluish discoloration of the skin, ear lobes, or nail beds) may be evident with hypoxemia. Monitor the color of skin and mucous membrane. To create a baseline set of observations for the patient, and to monitor any changes in the vital signs as the patient receives medical treatment. ![]() ![]() Sickle Cell Anemia Nursing InterventionsĪssess the patient’s vital signs, especially the respiratory rate and depth, as well as the use of accessory muscles. Nursing Diagnosis: Impaired Gas Exchange related to decreased oxygen-carrying capacity of the blood and abnormal RBC structure life span secondary to sickle cell anemia, as evidenced by shortness of breath, oxygen saturation of 82%, mild confusion(GCS 14), use of accessory muscles, cyanosis of the lips, heart rate of 122 bpm, restlessness, and reduced activity toleranceĭesired Outcome: The patient will demonstrate adequate oxygenation as evidenced by normal heart rate, easy of breathing, GCS 15, absence of restlessness, and oxygen saturation within the target range set by the physician. Sickle Cell Anemia Nursing Care Plans Nursing Care Plan 1 Transplantation involves the elimination of latent blood cells in the marrow and replacing it with the donated healthy cells.
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