Pathophysiology
The proliferation and immature of what type of cells
WBCs
Acute Lymphocytic Leukemia peaks around the ages of what, and what age after
2-5 years
50years
General signs and symptoms of the acute leukemias
Fatigue
Weakness
Mouth sores
Pallor
Headache
Frequent infections
What type of biopsy might someone experience to diagnose leukemia
Bone Marrow
The goal for the RN to do for the patient is to minimize what 2 things
Side effects
Complications
What types of cells replace bone marrow in Bone Marrow Failure
Blast Cells
Acue Myelogenous Leukemia increases risk after what age
60 years
General signs and symptoms of Chronic Leukemias
Fatigue
Weakness
Weight loss
Night sweats
Frequent infections
To ID if cells are outside the blood and bone marrow, what procedures might need to be done
CT scan
What kind of communication should the RN use when talking with patient and family
Where are the most common sites for cell infiltration outside of bone marrow
Central Nervous System
Testicles
Chronic Myelogenous Leukemia is rare in _____ and is increased risk around the age of __
Children
65
If someone had ALL or AML what specific signs and symptoms might they experience
Fever
Severe bleeding
Infection
Which blood cell could be normal or abnormal in someone with leukemia
WBC
To manage side effects what should the RN monitor
Labs
All meds that have been administered
What other sites are involved in cell infiltration?
Lymph nodes
Liver
Spleen
Joints
Chronic Lymphocytic Leukemia increased risk after the age of ___, and is more common in ___
65
Men
If someone had CML or CLL what specific signs and symptoms might they experience
Joint Pain
Bone Pain
Splenomegaly
Lymphadenopathy
Hepatomegaly
Name a few options for treatment with someone with Leukemia
Combination Chemotherapy
Corticosteroids
Radiation
Bone Marrow Transplant
Immunotherapy
Stem Cell Transplant
What should the RN educate the patient to do to reduce the risk of infection
Hand washing
Avoid crowds
No fresh fruits/veggies
Avoid flowers