ShannonR

autoimmune, that could be influenced by chemo right???

hi working on my careplan and not being able to rationalize why my client has a low monocyte level. Lots of info on elevated levels is available but not much on low levels, nothing i have found pertains to her case. So any ideas? Can they be decreased from chemo? Does malnutrition affect them? Previous pancreatic CA? Thanks, Shan

I am starting a careplan and my client was admitted with a dx of Abd pain, nausea, vomiting and diarrhea, she has a history of pancreatic cancer that resulted with a whipple's surgery 02/06. Her physician put her through a series of tests (adb ultrasound with contrast, pelvic ultrasound with contrast, MRI, scope esophageal/abdomenal) the physician discharged her today with a diagnosis of "lazy bowel syndrome". I am attempting to look this condition up to complete my etiology/pathophysiology, diagnosis, clinical s/s - manifestations and medical/nursing management information...however i am not finding any informaiton on it. Merck manual doesn't list it, it isn't in my med-surg book.... Any ideas? I have to document my source too. Thanks shan