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Hematological & Cell growth abnormalities - Coggle Diagram
Hematological & Cell growth abnormalities
RBC disorder
Anemias
**Symptoms:
headaches.
Dizziness
lighteadedness
Fatigue
cold hands and feet
slowed growth and development
poor appetite
abnormally rapid breathing
behavioral problems
unusual craving for non-nutritive substances, such as ice, dirt, paint or starch
Nursing care
1.Iron rich diet;
2.educate on iron supplement absorption: 3.empty stomach, with orange juice ,
no dairy 2 hrs before;
5.medication management:
PO or IV iron supplements.
Manage Side effects: teeth staining and constipation
Nursing Assessment
1.full head to toe assessment .
2 .respiratory assessment .
cardiac assessment.
Nursing Diagnosis
.
1.Ineffective tissue perfusion related to nemia...2. Imbalanced nutrition.. 3.Deficient caregiver knowledge related to age- appropriate iron intake.
Thalassemia
Nursing Diagnosis
Imbalanced nutrition
Ineffective tissue perfusion
Activity intolerance
Ineffective family coping
Nursing assessment
Assess for severe anemia splenomegaly with
abdominal enlargement,
Assess jaundice
Assess for severe anemia
Symptoms
?
.Headache, Pale or yellowish skin
Facial bone deformities Fatigue, delayed growth development,Dark urine, susceptibility to infection.
Blood coagulation disorder
Hemophillia
Symptoms
easy bruising, prolonged bleeding, joint pain and swelling, excessive bleeding
Nursing Assessment
perform a thorough health history, assess for sogns of bleeding, evaluate joint function, monitor vital signs, evaluate the patient's medication history if there are any orescribed clotthing factor replacement therapy, presence of ecchymosis
Nursing Diagnosis.
risk for bleeding, impaired physical mobility, acute or chronic pain, risk for impaired skin integrity, anxiety
Nursing Care
prevent bleeding (assess signs of bruising, ecchymosis, and bleeding), alternating cold compresses, apply an elastic bandage and allow the area of bleeding to rest; do not massage the area of bleeding.
ITP
Symptoms
Spontaneous bleeding
Non palpable spleen
Hemorrhage
Petechiae
Purpura
Nursing Assessment
Health history
Laboratory studies
Imaging studies
Physical exam
Assess vital signs
Nursing Diagnosis
Risk for bleeding due to decreased platelet count
Risk for Deficient Fluid Volume
Fatigue due to blood loss
Risk for injury due to abnormal blood profile
Nursing Care
Prevent bleeding, remains free of injury
Increases daily activity (if feasible).
Remains free of infection
(check for vital signs and absence of signs and symptoms of infection.
Leukemia
Symptoms
Cough
Unexplained bruising
Pain in bone, joints, and abdomen
Frequent infection
Tiredness
Unexplained fever
Unexplained rash
Unexplained weight loss
Shortness of breath
Paleness
Night swears
Lumps and swelling
Nursing Diagnosis
Impaired tissue integrity due to radiation therapy
Risk for infection due to decreased neutrophils, altered response to microbial invasion, and presence of environmental pathogens
Risk for injury related to low platelet count and treatment
Acute pain due to tumor growth, infection, and adverse effects of chemotherapy
-Activity intolerance due to anemia and adverse effects of chemotherapy
Nursing Care
emphasize comfort,
minimize the adverse effects of chemotherapy,
promote preservation of veins,
manage complications,
and provide teaching and psychological support
Nursing assessment
Pt. history focusing on fatigue, weight loss, nights sweats, and activity intolerance
Assess signs of bleeding and infection
Evaluate splenomagely, lymphadenopathy, hepatomegaly
Assess difficulty in swallowing, coughing, rectal pain
Examine enlarged lymph nodes, hepato splenomegaly, evidence of bleeding, abnormal breathing sounds, skin lesions.
Inspect signs of infection and frequency of incidence for infection
Lymphoma
Nursing assessment:
respiratory rate, oxygen saturation, blood pressure, heart rate, temperature, skin integrity
Symptoms
lymph node enlargement, dyspnea,
spleen enlargement, muscular weakness
weight loss, appetite loss, fatigue,
night sweats and fever
Nursing Care:
assess respiratory status, administer oxygen, prepare for intubation; infectious disease precautions; support and protect bony prominences
Nursing Diagnosis
ineffective breathing pattern, risk for infection, fatigue related to effects of cancer chemotherapy and radiation therapy, impaired skin integrity
Link Title
Neuroblastoma
Nursing Assessment
physical examination, assess vital signs, check child's health history, observe the child's energy level, behavior, and overall appearance, nd evaluate nutritional intake
Symptom
enlarged abdomen, fever, malaise/fatigue, flushed red skin, bone or joint pain, dyspnea, racoon eyes
Nursing Care
Assess low immune
GI disorder
Activity in daily life
Obs. Complication of Chemotherapy / Radiation
Nursing Diagnosis
acute pain, impaired tissue integrity, fatigue, risk for infection, and imbalanced nutrition
Nephroblastoma
Symptoms
-fever, hematuria, nausea-poor appetite, & hypertension.
Nursing Assessment
abdominal swelling, abdominal mass, abdominal pain,
Nursing Diagnosis
Pre-operative: Anxiety or fear of surgery
Post-operative: Pain, risk of bleeding
Renal biopsy: Risk of bleeding
Fatigue due to of chemotherapy
Risk of infection due to low immune
Nursing Care
Not to palpate tumor site
Support family both emotional and spiritual
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