Sickle Cell Anemia Nursing | Symptoms, Pathophysiology, Sickle Cell Crisis & Trait
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- Опубліковано 11 тра 2018
- Sickle cell anemia is a genetic blood disorder that occurs when a patient has abnormal hemoglobin on their red blood cell called Hemoglobin S (normal hemoglobin type is A).
Hemoglobin S is very sensitive to low oxygen level. When a red blood cell with hemoglobin S experiences a decrease is oxygen it causes the red blood cell to change it's shape from a round, smooth shape to a stiff, sickle-shaped, and sticky shape.
This change of shape in the red blood cell leads it to occlude circulation within the vessel, which can lead to various types of sickle cell crises (vaso-occlusive, spleen sequestration, hyperhemolyic, and aplastic crisis).
Sickle cell anemia is an autosomal recessive disorder that is homozygous. This means that both parents will each give their offspring one abnormal hemoglobin gene (Hemoglobin S) to make their child have hemoglobin SS. The parents are typically carriers of the disease without symptoms. The parents are heterozygous in that they each have sickle cell trait (in other words they each have hemoglobin AS), but not the actual disease.
African-Americans are most commonly affected with this disease. According to CDC.gov, 1 in 12 African-Americans carry the sickle cell trait. In addition, Middle Easter, Asian, Caribbean, and East Mediterranean patients are at risk as well.
Many patients with sickle cell anemia will have symptoms of anemia, but will not manifest major signs and symptoms until a sickling episode occurs. Factors that can cause a sickle cell crisis include: significant blood loss, illness, climbing or flying to high altitudes, stress, dehydration, fever, strenuous exercise, or extreme cold temperatures.
Sickle cell crises vary among patients with some patients experiencing random episodes with others experience them frequently. Sickle cell anemia is typically discovered in the young pediatric patient (age 6 months and onward). These patients will present with swelling of the hands and feet (hand-foot syndrome or Dactylitis), fever, and be extremely fussy.
Patients who have sickle cell anemia are at risk for the following complications: acute chest syndrome, stroke, splenomegaly, infection, leg ulcers (mainly older children), anemia, vision changes, gallstones etc.
Nursing interventions for sickle cell anemia include: educating the patient or parents about the factors that lead to sickle cell crisis, maintain hydration, administering oxygen, pain control, bedrest, prevent infection and assessing vaccination history of patient, elevating swollen extremities, removing occlusive clothing or objects etc.
A medication used to treat sickle cell anemia is Hydroxyurea, which helps make fetal hemoglobin. This will decrease sickling episodes and the need for blood transfusions. However, a low white blood cell count is a side effect of this medication.
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RegisteredNurseRN Thank you for this lecture!
I can't thank you enough for these videos. You are a life saver for me in this nursing journey. I'm grateful for you. Thanks a lot. Your videos are clear and concise.
I. Lots my son with sickle cell
I loved the videos it really help me get a better understanding of what I am studying.
This may also be the cure for coronavirus blood transfusiion from patients who tested positive but now is negative the more red bloods cells the better the chance of fighting it
This lady is a gift from god🙌🙌
prolific with the video content ... Nurse Sara the goat!
Indeed
Yes she is!!
Swear she is!!! ❤️❤️ so thankful
No doubt about it
As a sickle cell patient, I want to thank you for spreading awareness to the disease in your own way!
Please dear, how do you manage your situation? My daughter is suffering from it too and the folic acid that she takes daily seems not to be working greatly
@@kuluferdinand8762 Hi, I'm a sickle cell patient as well! I take folic acid, hydroxyurea, and oxbryta. Taking these in addition to staying hydrated and being active has truly helped me stay out of the hospital a lot more than when I was younger
Have you heard about the new gene therapies that are coming (God willingly soon) e.g. LOVO-CELL ?
I'm in nursing school now....after every lecture, I look to see if you have a video on the subject we covered 😉. You have a gift. Your videos make prepping for exams soooooo much easier. Thank you! God bless you.
My first crises was when I was six months in 1975 I'm 48 now which is rare. My niece died at five with this😢 so thanks again for educating
Thanks to you Nurse Sarah..I passed NCLEX. I have been recommending your lectures. All the best and God bless you😊😊😊
hope you will tackle Psychiatric Nursing😉..Big fan from Philippines .😊
congrats! what other resources have you used? do you follow a study guide?
CONGRATS
I am a person who has sickle cell anemia who also carries the SS version and having it for years; I want to say that your video has educated me more than the many doctors I have come in contact with. Thank you for making this video! I normally don't get pain within my joints but tend to suffer from the Acute Chest Syndrome, but after listening to this video I'm going to drink a ton of water and stay healthier, especially when working out. So, again Thank you! Even with having the disease Education is always needed!
There is a huge loss of zinc in sickle cell anemia. Foods like millet are a good source, which is why millet is recommended for the diet in sickle cell. Supplementing zinc can cut the number of crises in half. I strongly urge you to explore scientific data and ask your pharmacist and doctor about it.
two hours of lecture in school and barely grasped the concept and here I am now feeling confident by just watching 25 minutes long video! You are a gem! you explain so well! thank you!:)
Same here. She is the entire reason I am passing nursing school!
Test the feeling to be sure it is grounded in knowledge and it is honest. 😅
She is the best teacher I've never had. These videos are helping me get through nursing school.
❤ I give a thumbs up on this one . I’m CERTIFIED I have Sickle Cell SS and just stared dialysis for renal failure . I plan to continue to share my story and raise awareness. Thanks for your knowledge
Being a 32M who is a blood transfusion every 5 weeks for my SCD, you did a great job explaining everything. SDC sucks. I’ve been on blood transfusion since I was 7. I’ve been dealing with chest pain for the last 2 months which felt like a heart attack but doctors just think I’m crazy at this point.
I was reading about this topic for hours and they were just words on a page that all sounded the same to me. This video was finally what made everything make sense. Thank you Nurse Sarah! ❤
I'm so glad it was helpful. Thank you for watching the videos and for this kind comment💜
I love that you do the pathophysio, the pharm, and the nursing considerations and treatments. I appreciate you
I'm a paramedic student and these videos are extremely helpful! Please keep making videos!!!
You are an actual ANGEL. You hit every single point on my handout but made it 10 times easier.
You are heaven sent. The best in explaining everything, thank you!!
This is the best video I've seen on sickle Cell anywhere, ever. You are a blessing.
I'm currently in Nursing school and I love watching your lectures and taking your quiz. It helps me pass my exams!!!! Thank You so much for doing this
You are a true gift to nursing student everywhere. Your videos breakdown the information so that anyone can learn no matter how busy and stressed life gets. Truly, thank you for all you do.
I am a nurse in the field, this videos have helped me to refresh up my knowledge of medicine
Thank you so much for your time and consideration of others.
you are the best lecturer on UA-cam!
I LEARN MORE TODAY ABOUT MY SICKNESS I HAVE SICKLE CELL
Hi Nurse Sarah. thank you so much for all these videos. Very informative and easy to understand. you are the best❤️
You are truly a blessing!!! Thank you for sharing your knowledge!!!
Am a sickle cell patient but It disturb me alot expecially cold season
Thank you for sharing this video
Thank you I was just trying to read over the this material!!
Hi Nurse Sara, I just want to express my appreciation to you. I love your videos. They are very helpful in my studies!
I like your vedio
I am a nursing student and I am so glad that I watched this lecture. It made me understand the topic clearly. Thank you very much
This was very thorough and helpful, thank you.
Sarah, God bless and continue to energise you for this marvellous works.
This is a very comprehensive and complete video, and very clearly taught. Thank you for teaching this! I am not a nurse, but a parent of two sickle cell children who are now young adults. We have definitely had our challenges, and I know from experience how vitally important it is for the health care provider to have the appropriate expertise in treating sickle cell patients. Thanks, again. (I am currently a graduate student in nutrition and studying research on the gut microbiome and how it relates to sickle cell disease. I appreciate the refresher.)
RN Sarah.. shaping and saving future nurses worldwide. Thank you! 🎉🖤
This has come in handy in my case study,God bless you
This happens with SC trait but only 25% as bad… we get Rhabdomylitis from stress, dehydration, hot outside, extreme work out over time…it takes all of these things to happen for us. I am at my best when I drink 3 liter of water a day and more during stressful times, exercise and activities and in the heat.
I had a crisis in nursing school and was scary and severely painful stabbing but nothing like the actual SS sickle cell disease.
It happened again when I took a stressful nursing travel assignment in Colorado , I didn’t have adequate water in my hotel but I did drink 2 liters a day at least but it was so stressful, then I was invited to climb a mountain, it took 5 1/2 hours to climb to the top it was sunny but not hot and we had no water after we drank what we had….I then had a crisis and had to soak, rest and catch up on water.
Takes much more for us but it can happen, the pain won’t send me to the ER, over the counter will do and it passes in a few days depending on how fast you remove the stress and hydrate.
Be well and drink your gallon of water a day and more with heat and activities. If you are a SCT person.
I pray all the ppl with the disease can prevent permanent damage and live long stress free and mostly pain free lives ❤️
I’m waiting for teaching all disease you are a a good teacher
I have this sc sucker cell anemia and I appreciate you for doing this. It has deteriorated my right hip and the crises are torturous. Teach the doctors they're still acting like they've never heard this.
Love you for this❤❤❤❤❤
WOW! Amazing explanation. God bless you.
Thanks for great explanation of sickle Cell disease, my son has it and is everything you talk about and more
I have learned a lot thanks God bless you 🙏
You're so amazing. Thank you so very much for the information on all topics you have ever shared.
you are amazing.... you are a gift from God..🙏 pls continue more videos..😘
Thank you 🙏 now I understand what is sickle cell
Very informative and easy to follow for anyone who has little to no knowledge of the disease. She's a really good teacher.
This has helped me so much, thank you! xx
Ill be taking my CMSRN this morning and reviewing your videos for last minute cramming. Thank you
Amazing lecture well articulated. Thank you
I’m so pleased I found your channel thank you so much ❤️❤️❤️❤️❤️❤️
Omg, how happy I am to see you talking about this condition, I have sickle cell anemia and I got horribly sick bc of my illness for the very fist time when I was 8 months (I was told by my mom). I was first miss diagnosed with leukemia but finally bc how swollen my leg, feet arms and hands is when my mom was misinformed by oncologist that I would not live to see my 10th birthday, I’m 43 years old now. This is a terrible disease, I’m told I have the worst form of sickle cell disease. It has taken such a toll on me and my water, it’s so horrible with all the pain, iron overload and so many painful episodes
I am almost in tear after reading ur write up.i Cry all the time .my daughter has this disease and it is terrible indeed
Thank you for your videos, quizzes and your advice to get the Saunders NCLEX RN Study Guide edition 7. They help tremendously for my 3rd semester in Pediatrics. Getting high 90s on my exams
DeAndre Haynes n When studying for exams do you read textbook a lot
Thank you so much
From the Philippines
As a carrier (AS),I made sure not to marry AS because i didnt want my child going through any of this..Its very important to create awareness about sickle cell anemia.Thank you for this video
My dad was a carrier but my mom was not as she’s white and just does not carry the gene I recently found out I am a carrier it really is just luck at this rate
I love the fact that you made a reference to creation
This was so helpful. Thanks. You have been getting me through nursing school! I will use your vids for NCLEX soon
Thank you!
thank you for this wonderful channel you did help me in my nursing school
Thank you so much for the information my grandson have sickle cell
You're the best! Thank you so much!
I understand anemia so much better now!
I knew someone that died from Sickle Cell Anemia about 30 years ago , I and I have a student with Sickle Cell . Then recently I saw the Classic movie " A Warm December" and it made me look for more information of the subject.
Thank you so much. xx
You are making nursing really easy and enjoyable for us ..
Thanks alot
Ya see, im a 21 year old male and i live with my grandmother. She can get really annoying sometimes but she's the one that raised me. See, when i was born my mother couldn't take care of me, mostly because she smoke's im guessing. So she gave me to my grandmother which has been taking care of me ever since. I love my grandmother. I mean, shes been through there with me through the up's and the down's. Taught me everything I know. Cooked for me, cleaned my dirty clothing, helped me in general. I love her without a tear of sadness. Tear of sadness cause i couldn't thick of anything else. I love her more than anything and she just can't see that. 😍😍😍😍😍😍😍😍😍😍😍😍😍😍😐😍😍😍
Thank God for you!!!
She's so cute😍💕.. and her way of explanation is awesome 👌🏻
You are the best.....thanks so much
Plz teach all diseases as soon as possible because your teaching ability is very good and I can understand easily
Thanks for your work ....it,s agood videos
thank you!
I'm A 27yr old with sickle cell animia and you discribed it oh so well I have type ss and had my first crisis at 3months old (my mom told me) alot of doctors should watch this video so they can be more educated about this disease
Thank you Kindly. A 🌹 for you sweet lady!!!
I love your videos. Thank you!
Really helpful thanks 😘
A perfect video, thanks 😍❤
Once again, thank you! Your videos have helped me since the beginning of nursing school. I only imagine they will carry me out through NCLEX as well. God bless you for doing this!
I feel like my tuition that I pay my expensive college, should be going to you since they always link your videos to our modules/lectures.
Am a Kenyan Nurse,I really enjoy listening to your classes especially the pathophysiology part,,very rich in knowledge👍
I really enjoyed this video and found it very informative, me being a sickler I've been looking for information to help educate my family and loved ones. I am thankful of this helping spread awareness and a better understanding of what we sicklers go through,thank you so much for this. God bless you
There is a loss of zinc in sickle cell. Millet is recommended for sickle cell because it is a good source of zinc. Supplementing zinc can cut the number of crises in half. Zinc picolinate is a well-absorbed form, zinc oxide is not. Look it up, ask your pharmacist, and ask your doctor.
Sarah u are a God send
U r doing great job#respect from asia
You are a blessing..Thank you
Thank you so much I enjoyed learning
I have enjoyed this session
thank you so much
thank you
Thank you so much. Your videos are beautiful ❤️
Thanku
Thank you! You are awesome and very pretty!🙂
Hello Nurse Sarah🤗Can you Please create a video on Sickle Cell Traits ? Thank you so much🌟🤗
Thank you so much in the next 4 Day am writing my exams
Thank you mummy doctor
I love your videos and they have really helped me with nursing school! just finishing up my 1st semester! :) can you please do a video on genomics! Thank you!
Thank you so much for watching. I may add a video on this in the future. Thank you for the suggestion :)
Thank you ❤
Fantastic information 👀👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼
Your video is always great 😍
Good one!
Great job
Welldone
I'm preparing for exam next month, your videos make it easier for me to understand.
how are you so awesome? You are truly a gift from God!
Wonderful video!