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I have had Polycythemia vera for 25 years. I was started on hydroxyurea two months ago and recently developed severe petechial hemorrhaging. I was admitted to the hospital with a platelet count of 9,000. I received a six pack of platelets and over seven days (being off the medication) my platelet count had climbed to 74,000. As of Sunday, July 5th, it was at 139,000 (off the medication for ten days). I was given the medication to help prevent the POTENTIAL of developing a blood clot. I have managed my Polycythemia vera pretty well without medication for 25 years (I do take baby aspirin) and wish I had never taken this.
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In adults and children, decreased rates of hospitalization were reported for patients receiving hydroxyurea compared with prior to hydroxyurea use in 7 studies.
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Avoiding high altitudes Seeking early treatment of illness to prevent dehydration Avoiding aspirin use, which enhances acidosis and promotes sicklingThalassemiaINTERVENTIONS AND RATIONALES Administer pain medication and note theireffectiveness to promote comfort.
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When you have your nursing license, thelaw expects you to know about any drug you313419NCLEX-RN_Chap37.
Doctors treat most complications of sickle cell anemia as they occur.
The complete status of the blood, including bone marrow examination, if indicated, as well as kidney function and liver function should be determined prior to, and repeatedly during, treatment.
Marrow suppression and mild peripheral blood cytopenias represent predictable toxicities of daily hydroxyurea therapy and are actually desired effects during escalation to MTD.
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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Reduction of riskpotentialCognitive level: Application NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: Analysis3.
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The client diagnosedwith circadian rhythm sleep disorder reportsperiods of insomnia at particular times duringa 24-hour period and excessive sleepiness313419NCLEX-RN_Chap13.
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Key treatments Extracapsular cataract extraction or intracapsular lens implantKey interventions Provide a safe environment for the client.
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