What would be a nursing care plan for a patient with thrombocytopenia?
Thrombocytopenia is a blood clotting disorder in which there are decreased amounts of platelets in the blood. Patients with this disorder can be at increased risk for a number of things including infection, bleeding, secondary anemia, and fluid volume deficit. Ecchymosis, or bruising may be present on the impaired bed-ridden patient. It is especially important to turn the patient often enough that swelling and bruising are decreased around points of pressure between the patient and the bed.
For a patient with low amounts of platelets, the increased risk for bleeding may lead to an increased risk for infection. If there is a consistently-open bleeding wound on the patient’s body, bacteria and viruses may make their way in more easily, leading to systemic infections.
Anemia secondary to the bleeding may cause the patient to feel fatigued and short of breath. Evaluating frequent labs is extremely important in knowing whether to begin blood transfusions or treatment for low red blood cell counts.
If you have a female patient who is menstruating, or any other patient with increased bleeding, they run the risk of depleting the fluids in their body. Monitor hydration status by checking for wet mucosal membranes and urine output every hour.