Polycythemia Vera (PV).doc - Disorder Polycythemia Vera(PV Definition of RBC in the blood is greater than normal(hemoglobin >18 Hemacrit >55 DISORDER OF

Polycythemia Vera (PV).doc - Disorder Polycythemia Vera(PV...

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Disorder: Polycythemia Vera (PV) Definition:# of RBC in the blood is greater than normal (hemoglobin >18 & Hemacrit >55%) DISORDER OF EXCESS RBC OR IRON Signs and Symptoms ‘Rule In’ (How did we diagnosis?) Treatments: (include nutrition, meds, radiation, surgery etc.) Teaching Other *with high RBC levels blood becomes “thick” Hyperviscous Facial skin & mucous membrane have DARK, PURPLE or CYANOTIC, FLUSHED appearance Distended neck Vein Vascular Stasis may occur thrombosis (clotting) occluding tissues (Heart, kidney, spleen) from getting O2 APHERSIS (withdrawal of whole blood and removal of some blood component and plasma is then reinfused) Increased hydration: 3-4 liters of water a day Drug Therapy: Anticoagulant Asprin therapy: may be used to decrease clot formation but
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Unformatted text preview: increase risk for GI BLEEDING Increase life span to 10-15 years -Avoid tight fitting clothes -Wear gloves outdoor -Contact HCP sign of infection -Take anticoagulant as prescribed -Elevate feet while sitting -stop activity in sign of chest pain -Use electric razor -Don’t floss/ use soft bristle Debris include: uric acid & K manifestation of GOUT & HYPERKALEMIA *PV is a cancer of the RBC w/ 3 major hallmarks: (1) Massive production of RBC, (2) excessive Leukocyte production, (3) Excessive production of platelets If left untreated, pt. w. PV have life expectant of 1-2 years Aggressive IV chemo is no longer recommended because of increased risk for inducing leukemia o HYDROXYUREA (ORAL CHEMO) may be prescribed for severe manifestation od the disease...
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  • Spring '14
  • JacquelynJordan
  • Nursing, Platelet, high RBC levels

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