Maureen is a 68 year old while woman who is brought to the emergency department by her husband. She has become progressively weaker and was admitted...

Maureen is a 68 year old while woman who is brought to the emergency department by her husband. She has become progressively weaker and was admitted for further evaluation

subjective data : complains of progressive weakness over the last couple of weeks.Has had a recent sinus infection that resolved after two courses of antibiotics. complains of shortness of breath. Has noticed a lot of bruising lately.

objective data : Has scattered petechiae on both ankies and two ecchymoses on her arms and one on her left lower leg. Her skin is very pale. BP 10 lying ,temperature 96.8 respiratory rate 26/min pulse 110/ min.

Laboratory result: hct 18.2%, hgb 5.9g/dl, wbc count 2600/ul (2.6x10/L), PLATELET COUNT 72,000/UL (72X10/L),peripheral blood smear indicates that 80% of the wbc are blasts , pt 18sec,appt 37sec, ldh 560 units/l

Bone marrow biopsy: multiple myeloblasts(>50%)

interpersonal care : consultation with a hematologist oncologist , two units of packed red blood cells, diagnosis acute myelogenous leukemia.

Discussion Question

1.wHAT COMPONENT OF THE LAB TEST RESULTS AND BONE MARROW BIOPSY SUGGEST ACUTE LEUKAMIA

2.HOW IS ACUTE MYELOGENOUS LEUKEMIA TREATED.

3. WHAT IS HER PROGNOSIS,

4 WHAT ATER THE LIFE THREATENING PROBLEMS THAT CAN OCURR AS A RESULT OF THIS DISEASE AND TREATMENT? HOW CAN YOU ANTICIPATE AND ASSESS FOR THESE PROBLEMS.

5 WHAT ARE THE PRIORITY NURSING INTERVENTIONS FOR HER.

6 WHAT ARE THE PRIOTITIRES FOR PATIENT TEACHING WITH THE A NEWLY DIAGNOSED ADULT WITH LEUKEMIA

7 BASED ON THE ASSESSMENT DATA PRESENTED WHAT ARE THE PRIORITY NURSING DIAGNOSIS? ARE THERE ANY COLLABORATIVE PROBLEMS .

8.WHAT NURSING INTERVENTION CAN THE REGISTERED NURSE DELEGATE TO UNLICIENCED ASSITIVE PERSONNEL WHILE SHE IS GETTING HER BLOOD TRANSFUSION.

9.SHE BECOMES FATIGUED AFTER STARTING CHEMOTHERAPY. SHE WANTS TO KNOW IF SHE CAN STILL WORK AND DO HOUSEHOLD CHORES EVEN IF SHE IS SO FATIGUED. WHAT IS YOUR BEST ADVICE FOR HER.