Objectives: To review the proliferative nature of polycythemia vera (PV), clinical features, laboratory findings, treatment options and controversies, and nursing management.
Data sources: Textbook chapters and review articles that pertain to polycythemia vera.
Conclusions: Polycythemia vera is a chronic myeloproliferative disorder that can evolve into acute leukemia. Treatment options include phlebotomy, myelosuppressive agents, interferon, and platelet inhibitors.
Implications for nursing practice: Nursing management of the patient with PV is challenging because of the evolving nature of the disease and treatment-related complications. Close monitoring and compliance with the treatment plan is necessary.