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Trapped platelets in the spleen. Certain diseases like hemophilia interfere with genetic expression of normal clotting factors. Risk for bleeding happens with disorders that reduce the quality or quantity of circulating platelets (thrombocytopenia). Dengue Fever NCP - 6 Most Commonly Seen Nursing Diagnoses - RN speak Levels below this range can cause problems in the human body. Low blood pressure, low temperature, and dizziness may result from excessive bleeding. Follow these tips to manage epistaxis: Put on protective gear, including gown, gloves, and face shields. Clotting factor concentrates can be injected to the patient with hemophilia to replace the missing blood factor/s. Low levels of hemoglobin can affect the level of oxygenation. For them to function, they need oxygen to break down sugar and use it as energy. Wolters Kluwer Health, Inc. and/or its subsidiaries. Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Splenomegaly with bone marrow suppression may be the cause of ITP. Nursing Interventions: -The nurse will demonstrated 3 techniques to the patient and daughter on how to improve memory.-The nurse will educate the patient about using the call light for help and utilize the bed/chair alarm. 2204 Intervention with a Suicidal Client Flashcards Quizlet. Anticipate the need for the patient to have whole blood replacements. The damage to the small blood vessels causes the formation of blood clots causing the destruction of red blood cells and platelets. [black left pointing small triangle] Have the patient sit upright with her head tilted forward, and instruct her to apply direct external digital pressure to the nares with her index finger and thumb. St. Louis, MO: Elsevier. To facilitate safe transition of anticoagulation therapy from clinical management to patient self-management before discharge. Patients on anticoagulant therapy may not show apparent signs and symptoms of bleeding, thus checking for the presence of blood in the stool or urine is an important nursing intervention. For more information, please refer to our Privacy Policy. Close monitoring. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans.