Neutropenia
Patient teachings for neutropenia
Table 34.24 pg 743
1. Clean hands
2. Notify providers for fever, chills, redness/swelling/discharge, change in urination/bowel movements, cough/sore throat/mouth blisters
3. How to take temp and what to do
4.Avoid crowds, wear masks
5. Avoid uncooked/unwashed foods
6. Avoid prolonged contact with soil
7. Bathe and shower daily, moisturize
8. Maintain daily activity
9. Brush teeth with soft tooth brush, avoid alcohol based mouthwash
10. Do not clean up after pets
Thrombocytopenia defined
platelet level < 150,000
Cancer prevention strategies
box 16.2 page 273
CAUTION mnemonic
Table 16.6 Warning Signs of Cancer
pg 273
Side effects of external radiation and the signs/symptoms
table 16.11
Neutropenic precautions and interventions
Table 34.23 pg 743
Hand hygiene before and after care
Screen/limit visitors
Place patients in private rooms/ away from infectious persons
Monitor for s/s of infection
Provide good skin/oral hygiene
Table 34.15
Chemotherapy methods of administration
pg 277
pg. 272
in situ refers to cancer whose cells are localized and show no tendency to invade other tissues
metastasis= spread of cancer to other areas/ systems
Effects of chemo: s/s of chronic toxicities and how they would present
pg. 279
Clinical manifestations
pg. 742
Discourage use of OTC medications that reduce platelet function, avoid injections-use small gauge needles and hold direct pressure for 5-10 minutes if you have to give an injection, limit excessive activity level
#1 Priority for patients with Heparin Induced Thrombocytopenia
STOP THE HEPARIN!
Expected symptoms post-mastectomy
table 56.8
page 1382
Goals of palliative care
Comfort!
Clinical assessment and findings
WBC low
Fever = emergency
S/S of mucous membrane infection= sore throat, dysphagia, diarrhea, SOB, non-productive cough, abdominal pain, ulcerative lesions
ITP and corticosteroids
Corticosteroids are used initially because they suppress phagocytic response, alter the spleen's recognition of platelets, increases lifespan of platelets, decrease antibody formation, and reduce capillary leakage.
ITP treatments
pg. 733
CEA levels diagnosis and use
pg 1116
Caring for patients with stomatitis, mucositis, esophagitis
table 16.11 pg 283
Sources of infection
1) the patient's normal flora
2) transmission from direct contact with others
3) air, food, water
4) exposure to other persons with infectious processes
Matrix questions
non-essential= we should/can do, but it won't kill them if we don't
contraindicated= do NOT do this at all costs
Bowtie Questions
Start with the condition then work outward
Actions to take= what we want to do for the condition you've selected
parameters to monitor=what do we want to get better/not get worse
Side effects of estrogen receptor blockers
pg 1384
Lymphedema and management
pg 1388-1389