If you continue to use this site we will assume that you are happy with it. 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. Urine pH: below 4.5 in the absence of renal disease. Finding help online is nearly impossible. Thrombotic Thrombocytopenic Purpura (TTP).

Administer medication like steroids, IVIG, Rituximab as ordered. Thrombocytopenia and ITP: Causes, Symptoms. She has great passion in writing different articles on Nursing and Midwifery. For management of vomiting (common to metabolic acidosis), position the patient to prevent. Thrombocytopenia (ITP, TTP) – Blood Disorders. Provide information about condition/prognosis and treatment needs as appropriate. Metabolic acidosis is characterized by normal or high anion gap situations. 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. Pagana Kathleen D, Pagana Timothy J (2006), Blood Chemistry and CBC Analysis: Clinical Laboratory Testing from a Functional Perspective, http://www.ndhealthfacts.org/wiki/index.php?title=Mean_Platelet_Volume_(MPV)&oldid=44664. Thrombocytopenia disease happens when number of count falls under 150,000 micro liter. Infection especially septicemia (Viral or Bacterial injects, Rubella, Mumps, Varicella, EBV). Chemicals such as pesticides. Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), NCLEX Questions Nursing Test Bank and Review, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. High anion gap acidosis occurs in diabetic ketoacidosis; severe malnutrition or starvation, alcoholic lactic acidosis; renal failure; high-fat, low-carbohydrate diets/lipid administration; poisoning, e.g., salicylate intoxication (after initial stage); paraldehyde intoxication; and drug therapy, e.g., acetazolamide (Diamox), NH4Cl. This is an exchange transfusion involving removal of the patient’s blood plasma and replacement with donor plasma and used to treat Thrombotic Thrombocytopenic purpura (TTP). Thrombocytopenia: Symptoms and Low Platelet Count. Plan in place to meet needs after discharge. Kindly check your mailbox and confirm your subscription. Patient Preparation. Rho D immune globulin (WinRho)- it is alternate to traditional IVIG. TEST: NORMAL VALUES: Leukocyte (White Blood Cell) X1000 cells/mm³ (µL) Birth: 9.0-30.0: 24 hours: 9.4-34.0: 1 month: 5.0-19.5: 1-3 years: 6.0-17.5: 4-7 years: 5.5-15.5 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). If the primary problem is direct loss of bicarbonate, gain of chloride, or decreased ammonia production, the anion gap is within normal limits. Thrombocytopenia Cancer or Thrombocytopenia Diabetes. Instruct the patient to avoid wear tight clothing. Instruct patient to avoid contact with toxic chemicals. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. HELLP Syndrome (Hemolysis, Elevated Liver Tests, Low Platelets). Clinical Implications. 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. His platelet count is 90,000/mcL. Use of some medication: Chloramphenicol, Gold, Phenytoin (Dilantin), Valproic acid. The following two tabs change content below. Low platelet count due to impaired production is generally due to problems with the bone marrow-. Instruct the patient to do not walk in bare fee. Instruct client to avoid nose blowing and keep hydrate nasal mucosa with nasal drop.

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Instruct patient to avoid some medications that increase bleeding tendency such as aspirin, ibuprofen. Avoid cutting nails, shaving with sharp blade. MPV is used in the evaluation of platelet disorders, especially thrombocytopenia.. High levels indicate: Valvular heart disease Encourage patient to give up alcoholism because these can worse bleeding problem. Definition. Monitor vital signs, laboratory results and level of consciousness frequently. Assess the Patient for any sign symptoms of unusual bleeding, such as- Epistaxis, Hemoptysis, Gingival bleeding, Purpura.

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