Blood and Lab values
what do Low WBC lead to?
what is the term for low WBC?
What is the Lab range for WBC?
infection
Leukopenia/Neutropenia
5,000 - 10,000
what is mucositis and stomatitis?
Mucositis: inflammation of the mucous membranes lining the digestive and respiratory tracts
Stomatitis: inflammation of the lining of the MOUTH or oral mucosa
what is dry Desquamation?
What to avoid?
what to promote for Tx?
dryness, flaking, and peeling of the skin from radiation (similar to sunburn)
harsh chemicals, deodorants, rubbing, scratching, metal, alcohol or perfume
nonirritating lotions (aquaphor) & aloe vera gel
What do low Plts lead to?
What is the term for low Plts?
What are the normal lab values for Plts?
Hemorrhage
thrombocytopenia
150,000 - 400,000
what do we need to monitor, avoid and treat GI & mouth with?
Monitor: examine mouth daily, weigh 2x's wk
Avoid: Mouth (spicy, acidic, hot, cold, and hard mouthwash) Diarrhea ( fiber, fatty, fried, highly-seasoned, spicy, gas producing food)
Tx: mouth (Viscous Lidicane, keep moist) Diarrhea ( antidiarrheal, antimotility & antispasmodic meds.) (ex: loperamide - Imodium)
What is wet desquamation?
What to avoid?
What to promote for Tx:
Tender, red skin with serous exudate and potential for blistering (severe sunburn/ 2nd degree burn)
temp. extremes to skin, swimming, direct exposure to sun, tight clothing, prevent inf., do NOT apply cold or hot packs as they can kill tissue
clean w/mild non irritating soap, expose to air to help heal, wear loose clothing,
What doe RBC lead to?
What is the term for low RBC?
What are the normal lab values for RBC?
fatigue, dizziness, SOB
Anemia
F: 4.2 - 5.4
M: 4.7 - 6.1
what are the 2 chemo medications?
What do these medications cause
What part do they effect?
What do we monitor?
Doxorubicin & Daunorubicin
causes Cardiotoxicity
Lt ventricular dysfunction and heart failure
EKG changes
what is Cancer Cachexia?
known as "wasting syndrome"
anorexia or unintentional loss of weight and appetite.
generalized tissue wasting, skeletal muscle atrophy, immune dysfunction and metobolic abnormalities
what does low HCT lead to?
What is the term for low HCT?
What are the normal lab values for HCT?
Dizziness, SOB, and irregular HR
Anemia
F: 36% - 44%
M: 41% to 50%
what does low albumin lead to?
What is the term for low albumin?
What are the normal lab values for albumin?
Edema, circulatory collapse & infection
Hyoalbuminemia
3.4 - 5.4 g/dL
What does low hgb lead to?
What is the term used for low hgb?
what is the normal lab values for hgb?
fatigue, weakness, SOB
Anemia
F: 12.0 - 16 g/dL
M: 14 - 18 g/dL
What do we need to promote in nutrition?
Why?
High calorie and high protein
prevent anorexia and muscular atrophy