Hi!!! We are nursing students and we need your help. Our teacher has given us a case of a patient with Acute myeloid lekemia we know that those patiens need to do chemiotherapy in order to get full remition and we alredy know all the interventios for that but we still need more. The problem is that we had search on the internet and we haven't find anything that our teacher consider relevant. We also know all the treatments. So we would apritiet if you could help us, you don't have to gives the all information you can jus tell us a site article where we can look for it.Ps. sorry if we miss spell it, but in our country english is not our primary language and this is our 2nd year on college.
nurseprnRN, BSN, RN 2 Articles; 5,114 Posts Nov 3, 2011 if chemotherapy decreases the number of all white blood cells, not just the immature ones, what does that do to the patient? what would you do to protect the patient from that?
danny1.0 3 Posts Nov 3, 2011 1st we appreciate that you have reply us!!!! We think that the patient gets immunosuppressed and he needs a special room because of infection, arewe right???Thank for your help!!!!Ps. sorry if we miss spell it, but in our country english is not our primary language and this is our 2nd year on college.
nurseprnRN, BSN, RN 2 Articles; 5,114 Posts Nov 3, 2011 good. he will be immunosuppressed and need to be in a private room. why must he be isolated? what will you look for?what are you trying to prevent?what will you see if you are successful?
Double-Helix, BSN, RN 1 Article; 3,377 Posts Specializes in PICU, Sedation/Radiology, PACU. Has 12 years experience. Nov 3, 2011 You're right that the patient will be immunocompromised and has a big risk of infetion. A private room would be a great start to limit the germs that the patient is exposed to. Try doing an internet search on "neutropenic precautions" and see if that gives you more information about what to do when a person is at risk for infection. Also, consider how the patient might feel psychologically. They have cancer- how do they feel about it? How are they coping? What can you do, as a nurse, to support the patient? What resources can you suggest to the patient?
xtxrn, ASN, RN 4,266 Posts Nov 4, 2011 What is the current lab work for this patient? I'm on chemo for this right now- and will help in whatever way I can :)Do you have the subtype of AML? Bone marrow bx results?Age and other diagnoses of this patient? What are the functions of the WBCs (neutrophils in particular), platelets, RBCs? When you get that, what will you be looking for ?
danny1.0 3 Posts Nov 4, 2011 Once more THANK YOU to anyone that reply to us. Dear GrnTea: He must be isoleted because like we said before is immonossupred so he has hight risk of infection. We think that we should look for the signs of infection like fever, edema, tierness... We have to prevent infections and other type of complications that we still look for. We haven't the answer to your last question we still google on it. Dear Ashley Thank for the questions about is reaction to the disease it was something that we have coplitly forgot. Dear Old Goat We are so sorry to hear that you are on chemo, and we can't thank you enought for being helping us. We were a litle bit confused about what you wrote we don't understand what is "Bone marrow bx results?" we look for but we couldn't understand the meaning of "bx", we also didn't understand what mean "What is the current lab work for this patient?" we translat for our language but we still not understanding the meaning. Sorry but we don't speak english. He's 39 and he has no other complication. He only has AML. Our teacher said that the subtype of AML is a medical concern. But we have asked for that now.Ps. sorry if we miss spell it, but in our country english is not our primary language and this is our 2nd year on college.
xtxrn, ASN, RN 4,266 Posts Nov 5, 2011 "bx" is biopsy (sorry )What are the results from the blood that was drawn and sent to the laboratory? The subtype is only important for education purposes at this point; the initial chemo will be similar with all of them- so not a major issue.
allnurses Guide Nurse SMS, MSN, RN 2 Articles; 6,840 Posts Specializes in Critical Care; Cardiac; Professional Development. Has 12 years experience. Nov 6, 2011 Don't forget to address the psychosocial needs of the patient and their family. Anxiety, caregiver strain, spiritual distress, fear, grief etc.
