Show:
MM
MM
Hodgkin's
Non-Hodgkin's
Hemophilia
100
Malignancy of plasma cells (too many)
What is multiple myeloma
100
Autologous: donate own bone marrow Allogeneic: a family member that has a close match Syngeneic: donated from an identical twin, better prognosis
Salvage therapy is
100
Idiopathic Possible viral or immune disorder Malignant cell; Reed-Sternberg cell is only way to diagnose
Etiology of lymphoma
100
Idiopathic Immunodeficiency Infectious agents (eptein barre) Exposure to chemicals, pesticides, solvents Thought to be a group of diseases usually dissemenated
Etiology
100
Inherited bleeding disorder A-defective factor 8 B-defective factor 9
What is Hemophilia
200
hypercalcemia and holes in the bones
These cells can produce
200
Fear Ineffective coping (family) Decisional conflict r/t treatment options Deficient knowledge Fatigue
Nursing diagnosis
200
Enlarged lymph nodes Systemic symptoms-Fever (no known origin of infection), weight loss, night sweats
Clinical presentations
200
Enlarged lymph nodes Systemic symptoms: Fever, weight loss, night sweats
Clinical presentations
200
Hematuria Epistaxis Bleeding into joints-knee, elbow, ankle shoulder, wrist GI bleeding-bloody emesis/stools Intracranial/Extracranial- threatening if bleed into CNS
Clinical manifestations
300
Bone pain, generally in the long bones and renal insufficiency (hard for kidneys to filter thick blood)
Clinical presentation will include
300
Deficient knowledge-teach, teach, teach! Impaired oral mucous membranes-PCA pumps(severe pain) Risk for infection Impaired physical mobility Situational low self esteem
Nursing diagnosis treatment
300
Excisional lymph node biopsy Requires presence of Reed-Sternberg cells on pathology
Diagnostic
300
Excisional lymph node biopsy; looking for abnormal lymphocytes
Diagnosis
300
PT/INR is normal, PTT is prolonged Factor Assay: looking @ factor 8 and 9
Diagnosis
400
Looking for increase level in M chain proteins (Bence-Jones). A 24 hr urine will be done
Diagnosis for multiple myeloma
400
Sexual dysfunction Deficient knowledge Fear Fatigue Pain
Nursing diagnosis: rehabilitation
400
Radiation therapy Chemotherapy Salvage therapy
Treatment
400
Radiation therapy Chemotherapy Observation Monoclonal antibodies Salvage therapy Looking for METASTASIS
Treatment
400
administration of FFP's administration of factor 8 and 9:given when actively pt is bleeding AMikar and Cyklokapron DDAVP-nose spray ages 10-11 yo
Treatment
500
Prednisone-PO Interferon- Sub Q @ home, major side effects are flu-like symptoms: fatigue, low grade fever, muscle aches
Treatment for multiple myeloma
500
Increase fluids to dilute blood thickness
With multiple myeloma
500
Chemo first, then external radiation They will retrieve remission after 1st round of chemo
How to start treatment
500
Live a long time Watchful waiting
Other things to look for
500
Pain-joint swelling (knees, hips) Ineffective coping Knowledge deficit-avoid NSAIDs, herbals, alcohol, dental hygiene, avoid invasive procedures, when to administer factors (keep in freezer) Risk for injury Risk for infection-HIV
Nursing Diagnosis