Case
HCR 240 CASE STUDY 89- SICKLE CELL ANEMIA
- Course
- Institution
HCR 240 CASE STUDY 89- SICKLE CELL ANEMIA
[Show more]
Seller
Follow
GEEKA
Reviews received
Content preview
HCR 240 CASE STUDY 89- SICKLE CELL ANEMIACase Study 89 Sickle Cell Anemia
1. What precipitating factors probably trigger the painful crisis
a. Working out at the gym and playing 3:3 basketball, lack of oxygen during exertion and
dehydration
2. What specifically is causing this patient’s current pain crisis
a. Vasoconstriction in the extremities due to hypoxia. His cells have
started to clump and the vessels are constricting
3. Identify this patient’s two major risk factors for sickle cell anemia
a. He is African American and both of his parents tested positive for
sickle cell trait.
4. Which single clinical finding provided a definitive diagnosis of sickle cell anemia in this patient?
a. Electrophoresis revealed a hemoglobin proption 86.5% HbS
5. Excluding laboratory test results, list a minimum of eight clinical manifestations or complications
from this case that are consistent with a diagnosis of sickle cell anemia.
a. Mild dilation of right ventricle, limited ROM in elbows, wrists, knees and ankles, poor skin
turgor and tenting, lips dry, fatigue, systolic ejection murmur noted, dry skin and acute
sequestration crisis, splenomegaly, dactylitis
6. Identify two subnormal clinical values from the laboratory blood test results in Table 89.2 and
briefly explain why they are abnormal.
a. Hemoglobin 10.9 g/dL, Hematocrit 28.1% both effect each other, the
hematocrit shows the amount of RBCs in blood as being low which
carries the O2 through the body, if they are being destroyed/sickle
they cannot carry the O2, which the hemoglobin is showing by
being low
7. Identify three clinical blood test results from Table 89.2 that were elevated and briefly explain why
they are elevated
a. Elevated bilrubin, indirect bilrubin and reticulocytes are elevated due to hemolysis
8. Does this patient require an adjustment in his daily dose of folate.
a. According to his blood work his levels are too high. A normal range
is 2-20 ng/ml and his are 515 ng/ml. Too much folic acid can hide
pernicious anemia. He should have it adjusted and his B12
checked.
9. Why is this patient taking flunisolide
a. Chronic nasal drainage x 2 years and history of asthma
10. List a minimum of four laboratory blood test results that indicate that hepatic injury has not yet
occurred from sickle cell anemia
a. AST, ALT, Alk Phos, albumin, and protein
11. If both parents are carries of HbS mutatuion, what is the probability that their child will
a. Have sickle cell anemia 25%
b. Be a carrier of HbS mutation 50%
12. If one parent has all of the clinical manifestations of sickle cell anemia and the other parent does
not have sickle cell anemia nor is a carrier of the HbS mutation, what is the probability that their
child will
a. Have sickle cell anemia 0%
This study source was downloaded by 100000842568006 from CourseHero.com on 04-01-2022 15:10:15 GMT -05:00
https://www.coursehero.com/file/28740624/Case-Study-89-Sickle-Cell-Anemiadocx/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.64. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75619 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now