About
Decrease in white blood cells, red blood cells, and platelets.
Assess
CBC with differential will show an abnormally low WBC, RBC, and platelet count. Patient may also have increased bleeding and infection.
Complications
Bleeding, infection, sepsis, hemorrhage, death.
Diagnosis
- Risk for infection related to altered body defenses.
- Risk for injury related to bleeding disorder.
Goals
- The client will remain free form infection.
- The client ill remain free from injury related to increased bleeding.
Interventions
- Monitor vital signs and lab results-- notify physician if hypotensive or changes in CBC indicative of blood loss.
- Monitor for acute bleeding, including bruising, black stools, bleeding gums.
- Encourage client to call for help when ambulating if feeling weak, dizzy, or fatigued.
- Monitor for signs and symptoms of infection ( fever, malaise, inflammation).
- Perform hand hygiene and prevent sick personnel or visitors from entering client room.
- Teach client methods to prevent infection including hand-washing, avoiding large crowds, monitoring temperature.
- Teach client about medications and/ or treatments, including platelet transfusions, according to physician orders.
- Monitor for signs/ symptoms of complications.
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