4. Thrombocytopenia.pdf

Thrombocytopenia Pediatrics: Hematological Pathophysiology Platelets ≤ 150,000 Normal: 150,000 - 400,000...

Thrombocytopenia Pediatrics: Hematological Pathophysiology Platelets ≤ 150,000 Normal: 150,000 - 400,000 Thrombocytopenia: Thrombocytopenia Thrombocytopenia occurs when clients have low platelets. 150,000 or less 100,000 ≤ 50,000 100,000 = MAJOR RISK 50,000 or Less = DEADLY Thrombocytopenia Thrombocytopenia Signs & Symptoms HESI Question Huge risk for hemorrhaging, like a ticking time bomb. Any small bump or fall will cause major bleeding Which sign is observed in the Bleeding gums patient with thrombocytopenia? Tachycardia Petechiae Petechiae Petechiae (Tiny red brown-purple spots on the skin) Causes Complication Bleeding - Huge risk for injury, like a ticking Immunosuppressants time bomb Liver disease (Hep. / Cirrhosis) PRIORITY ITP - Immune Kaplan Question thrombocytopenia purpura NCLEX The nurse cares for a client diagnosed with immune thrombocytopenia purpura. Which nursing diagnosis is a priority when caring for this client? Interventions Risk for injury P P Platelets Less than 100k HeParin AsPirin ASPIRIN The NCLEX will give lab values & ask for priority action! Hold the P’s THINK: what KILLS the patient first! HeParin P P Immunosuppressants Labor & Epidural Cirrhosis AsPirin CloPidogrel EnoxaParin & Surgery CloPidogrel Exhibit Exhibit Exhibit Laboratory result Laboratory result Laboratory result EnoxaParin CLOPIDOGREL WBCs 3,000 Blood group A+ Albumin 2.7 g/dL Notify the HCP 1 Hemoglobin Platelets 9.5 g/dL 68,000 Rh factor WBCs Negative 18,000 Bilirubin Platelets Platelets Negative 45,000 45,000 Obtain vital signs ? Platelets 75,000 Ammonia 125 78 BPM 120/80 98% 24 RPM 98.6 F Teaching 1. Look for the most critical lab! All are less than 100,000, but cirrhosis is the lowest - less than 50,000. NO Razors 2. It’s your JOB as a nurse to SAVE LIVES! NO NSAIDS over the counter NSAIDs The NCLEX will make sure you do. 3. This is why you MUST know your numbers.