Hematology
A Hematopoietic Stem Cell Transplant (HSCT) is 1st line treatment for which problem?
Aplastic Anemia
Please name at least 2 of the changes that the patient will show when they have abnormal blood cell changes related to an oncology problem?
fatigue, pallor, frequent or severe infection, or easy bruising.
Your patient has a whitewash glow to their left pupil upon assessment.
What could this finding indicate?
Retinoblastoma
Your patient weighs 32kg. You are ordered to administer 0.75 mg/kg of Benadryl. How many milligrams will you prepare for this does?
24 mg
Maternal derived iron stores are depleted by what age?
4 to 6 months of age!
What test reveals the following information: Hemoglobin and hematocrit, WBC count (particularly the percentage of individual WBCs), and platelet count
CBC
What is the difference in location of tumors in Lymphoma's, specifically Hodgkin versus Non Hodgkin Lymphoma?
Hodgkin disease tends to affect lymph nodes located closer to the body’s surface, such as those in the cervical, axillary, and inguinal areas, whereas NHL tends to affect lymph nodes located more deeply inside the body.
What 3 areas does the Glasgow Coma Scale assess?
Eye Opening
Best Motor Response
Best response to auditory and/or verbal stimulus
Your patient is order 13mg/kg of IV Tylenol. Your patient weighs 32kg. How many milliliters will you have to administer with your dose?
The concentration of Tylenol is 1000mg/100mL.
41.6 mL.
416 mg is your dose.
When it comes to childhood versus adult cancers, what is the difference with cancer prevention?
Pediatric = Little is known
Adult = 80% preventable
What metal, when found in the body, causes a decrease in red blood cell production?
Lead
Your patient is diagnosed with a Stage IV Neuroblastoma.
Where is the typical location of this tumor?
Abdomen
What does an Electroencephalogram measure?
Measures electrical activity of the brain
Your patient is ordered 15 mg/kg of Vancomycin.
Your patient weighs 12kg.
The concentration is 5mg/mL. The medication is ordered to run over one hour, how fast will your Vancomycin run?
36 mL/hr
What symptom is of utmost importance to manage for a patient receiving chemotherapy. This symptom is related to ensuring adequate growth and development.
Nausea and Vomiting
If your patient has Hemophilia and is in a car accident with multiple lacerations. What medication is necessary to stop the bleeding?
Factor Replacement
Your patient is diagnosed with a Rhabdomyosarcoma. Where does this tumor typically form?
(What body tissue)
striated muscle
What is the nurses role when a patient requires a Lumbar Puncture?
Assist with proper positioning (Fig. 38.6). Help child maintain position and remain still.
Your patient is ordered 2mg/kg of Hydrocortisone for a low blood pressure.
Your patient weighs 15kg.
The vial contains 100mg and needs to be reconstituted with 2mL of 0.9 NS. What volume will you administer?
0.6 mL
If your patient is refusing to eat with stomatitis, what medication can you offer to help with this discomfort and encourage PO intake?
Magic Swizzle: 1:1 Benadryl/Maalox solution
Your patient has Sickle Cell Anemia.
Therapeutic management would include?
Please name at least two...
Preventing vaso-occlusive episodes and infection as well as other complications.
Acute Chest Syndrome
Splenic Sequestration
Stroke
Your patient is diagnosed with a Wilms Tumor. What is the major pre-operative nursing care priority?
And why?
Do NOT palpate the abdomen!
Bleeding and Seeding risk!
What is an early sign of increased intracranial pressure in an infant?
Please list at least 2
• Bulging, tense fontanel
• Wide sutures and increased head circumference
• Dilated scalp veins
• High-pitched cry
Your patient is ordered 75 mg/kg of Zosyn.
The patient weighs 20 kg.
The concentration of Zosyn is 2,250mg/50mL and ordered to run over 30 minutes.
How fast would you set your pump?
The dose is: 1,500 mg
The total volume is: 33.33 mL
The rate will be: 66.67 mL/hr
You are concerned that your patient is febrile. Your patient is receiving chemotherapy and their platelet count is 10,000/mm3.
Which route of obtaining their temperature would you avoid and why?
Rectal and bleeding risk!