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L is a 28-year-old female patient is admitted to the oncology unit with a diagnosis of suspected Hodgkin's disease. The diagnosis is confirmed after...
J.L is a 28-year-old female patient is admitted to the oncology unit with a diagnosis of suspected Hodgkin's disease. The diagnosis is confirmed after a biopsy. J.L. is started on treatment, which consists of colony stimulating factors (CSFs) and chemotherapy.
- Colony stimulating factors (CSF) are one type of biologic response modifiers (BRMs). What are BRMs and why are they given to patients with cancer?
- What are CSFs? How are they useful to patients undergoing cancer treatment?
- What would indicate a need for erythropoietin-stimulating agent like epoetin alpha? What are the nursing interventions, side effects, and patient teaching for this medication? What vital sign is the most important to monitor and why?
- What would indicate a need for filgrastim? What are the nursing interventions, side effects, and patient teaching for this medication?
- After 4 days, J.L's labs are: hemoglobin 12.8 g/dL and BP is 168/93. What is the explanation for these changes in labs and BP? What are your concerns?