Leukemia
This type of Leukemia is most common in children
and it is abrupt or insidious onset
Acute Lymphocytic Leukemia (ALL)
How long will you administer Packed RBC's?
2-3 hours
True or False: You can administer IV Fluids with Dextrose.
FALSE
Why? You would never want to administer with dextrose because it can cause Hemolysis
Risk Factors of Leukemia
-Exposure to chemicals (e.g., benzene),
-Radiation
-Certain genetic disorders (e.g., Down syndrome).
IV Filtration Management
-Stop Infusion
-Notify HCP
-Assess for treatment
You would administer this before, during, and after a blood transfusion
0.9% NaCl
Diagnostic Studies of Leukemia
Blood Evaluation: CBC, important to get baseline values
Bone Marrow Examination: Aspiration, morphologic, histochemical, immunologic, and cytogenic methods
Additional: Lumbar Puncture, PET/CT Scan
Blood Transfusion Reaction Monitoring
-Monitor for reactions: Febrile, non-hemolytic, allergic
-Observations: Skin Changes, Breath Sounds
-Actions: stop the transfusions, notify the HCP
During a blood Transfusion you notice your client is having chills, and states they are having anxiety and a headache. After taking the client's temperature, you see the patient is having a fever.
What type of reaction are they experiencing?
Febrile Reaction: Response to donor white cells.
- This is the most
symptomatic complication of blood transfusion
After receiving a blood transfusion, you notice your client has a rash, and is itching. Your client develops an allergic reaction. AFTER you stop the transfusion, what will you do next?
-Administer antihistamines
-Monitor closely
-Return blood and tubing to blood bank
What are some nursing management you would perform for a client undergoing chemotherapy for Leukemia?
-Symptoms: Fever, Lymphadenopathy, pallor, jaundice, petechiae
-GI Management: Oral Lesions, Bleeding, Dietary Adjustments
Administering Packed Red Blood Cells (PRBC)
-Verify patient and blood product ID with another nurse
-Start Infusion SLOWLY, stay with patient for the first 15 minutes
-Ensure a patent IV Line. At least an 18 gauge (if not two #20s)
-Make sure only to use 0.9% sodium chloride
-Infusion must be started within 30 mins of receiving it from the blood bank