Nursing Interventions: Aplastic Or Hypoplastic Anemias

1. If the patient platelet count is 20,000/mm3, prevent hemorrhage by avoiding I.M. injections. Suggesting the use of electric razor and a soft toothbrush.
2. Provide humidifying oxygen to prevent drying of mucosa membranes.
3. Promote regular bowel movements through the use of a stool softener and a diet to prevent constipation.
4. Help prevent infection by washing your hand thoroughly before entering the patient’s room.
5. Encourage the patient to eat nutritious diet such as high in vitamins and proteins to improve resistance.
6. If the patient has a low hemoglobin level, which causes fatigue, schedule frequent rest periods.
7. Administer oxygen therapy as needed.
8. Ensure comfortable environmental temperature for a patient experiencing hypothermia.
9. Detect bleeding promptly by checking the blood in the patient’s urine and stool and assessing the skin for petechiae.
10. Watch for signs and symptoms of infection, such as fever, chills, malaise, oral or rectal ulcrations, dysuria, or cough.
11. Regularly evaluate the patient’s degree of fatigue and activity tolerance.
12. If blood transfusion are necessary, assess for transfusion reaction by checking the patient’s temperature and watching for the development of other signs and symptoms, such as rash, urticaria, pruritus, back pain, restlessness, and shaking chills.