Nursing Care of Myelofibrosis Following Splenectomy Essay

Nursing Care of Myelofibrosis Following Splenectomy - Essay ExampleMr. Spring had marked splenomegaly and profound constitutional symptoms including fatigue and night sweats. collectable to anemia, there would be hemodilution, leading to an increased burden on the heart, thus resulting in congestive cardiac failure, and this was evident from his breathlessness and peripheral edema (Tefferi, 2005, p. 8520-8530). It is sooner possible that his hematologic profile was further aggravated by splenomegaly-mediated exacerbation of the cytopenias through sequestrations and destruction of hematopoietic elements. Splenectomy offered to him as a treatment modality would wholly reduce the splenomegaly-induced symptoms and functional abnormalities of his blood picture secondary to his marrow pathology.Postoperative Phase After the surgery, Mr. Spring was brought back to the ward with oxygen via nasal prongs on 2 L of oxygen with him saturating at 95%. His temperature was 36.8 and he was hypoten sive. He was kept under observation. A stat dose of Lasix was given to reduce the quiet overload, and his urine output was 150 mL in the first hour following the injection and in the second hour, he passed another 100 mL. The ski binding on the wound was clean, and there was no obvious ooze. The patient was provided with a patient-controlled analgesia (PCA) morphine pump, and it was instructed to be on an as-needed basis, since post-surgical pain is important to prevent, and nursing has an important parting to play even though it is PCA. Intravenous opioids provide immediate relief and are short-acting, thus minimizing the potential for drug interactions or prolonged respiratory mental picture while anesthetics are still active in the patients system (Marley & Swanson, 2001, 399-419). To prevent deep venous thrombosis, a stocking was in place with the first appearance of intermittent calf compression.