Term
| Nsg. dx r/t Bone Marrow Suppression |
|
Definition
Infection r/t neutropenia
Bleeding r/t thrombocytopenia
Anemia r/t reduced RBCs |
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Term
|
Definition
decrease in neutrophils
One of most serious complications
Develops a couple of days after admin
nadir is 10-14 days later
Will recover in 3-4 weeks |
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Term
|
Definition
| the next round of chemo tx is held |
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Term
| Precautions for Neutropenic client |
|
Definition
Hospitalization is controversial
*Protective isolation if hospitalized
Freq. monitoring of temp
C&S to determine causative agent
Use Biologically Modified Response |
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Term
| Teaching Neutropenic Client |
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Definition
Avoid crowds, buffet, sick people, and animals
Report temperature, unusual bleeding
Monitor fever, chills, cough
Hygiene: ed re: careful teeth brushing |
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Term
|
Definition
Reduced platelets
<50,000: bleeding risk is greatly increased
<20,000: spontaneous bleeding risk |
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Term
| Thrombocytopenia: Nursing Focuse |
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Definition
**Measure abdominal girth daily
Note s/s bleeding
Assess for ecchymoses (blue spots) or petechiae |
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Term
| Teaching Thrombocytopenic Ct |
|
Definition
Report: bleeding gums, increased bruising
Notify dr. re: tarry stools, hemoptysis, nosebleed
May have hypermenorrhea |
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Term
|
Definition
| Apply ice to area for 1 hours |
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Term
|
Definition
| decrease in # of circulating RBCs |
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Term
|
Definition
blood transfusion
Erythropoietin |
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Term
| GI effects of chemo drugs |
|
Definition
Rapidly dividing cells most susceptible
*Stomatitis
*N/V
*Abdominal Cramps
*Diarrhea
*Anorexia |
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Term
|
Definition
High protein/high calorie diet
-bland; small, frequent meals
Maintain good oral hygiene
-rinse mouth w/ plain water every hour while awake |
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Term
|
Definition
H/A, itching, rash, sterility, hemorrhagic cystitis
Loss of bone density, peripheral neuropathy, alopecia
Fatigue; cardiac dysrhythmias; damage to heart, liver, kidneys |
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Term
| Types of Bone Marrow Transplant |
|
Definition
*Allows intensive chemo
Allogenic: from another person
Autologous: From self |
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Term
| Nsg. considerations for marrow transplant |
|
Definition
Monitor site for infection
Education ct. re: pain with procedure |
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