hematology- anemia
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Aplastic Anemia
Kevin Nones
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Nursing Diagnosis
Imbalance nutrition less than theneeds associated with N/V
Activity intolerance related toreduced oxygen supply to the CNS
leeding
!is" o# in#ection associated withinvasive measures$ reduction inimmunological
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Corrina Angeles
IRON DEFICIENCY
ANEMIA
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Activity intolerance
Shortness o# breath doing simple tas"s
Irregular heart rhythm
%allor
&ea"ness
Di''iness
(eadaches
Depression
Sore tongue
(ypothermia
!estless legs syndrome
%ica
)oss o# interest in wor"* recreation* relationships* andintimacy+
Iron defciencyproblems
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Hypothermia Imbalancedbody temperature* ine,ectivethermoregulation
Restless le!s syndromeimpaired peripheral tissueper#usion* Impaired com#ort*Disturbed sleeping pattern
"ica !is" prone healthbehavior
#oss o$ interest in %or&'recreation' relationships'and intimacy sexualdys#unction* impaired socialinteraction* social isolation
Others
!is" #or delayed development-children.
Dys#unctional #amily processe
Anxiety
ear
De0cient "nowledge
Activity intolerance (hortness o$ breath doin!
simple tas&s Impaired 1as2xchange* Ine,ective breathingpattern
Irre!)lar heart rhythm
Ine,ective Cardiac 3issue %er#usion*Decreased Cardiac 4utput
"allor De0cient 5uid volume
*ea&ness !is" #or #all* sel# carede0cit
Di++iness !is" #or in6ury Headaches$ Acute %ain
Depression Ine,ective Cerebral3issue %er#usion* ailure to thrive*impaired social interaction* socialisolation* ris" #or suicide
(ore ton!)e !is" #or aspiration*
Iron defciencyproblems
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VI3 89 D2ICI2NC:
)IAN 1
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89 De0ciency %roblems
Acti,ity Intolerance Ine,ective tissue per#usion
Imbalanced N)trition #ess than-ody Re/)irements
Constipation/Diarrhea !is" #or In#ection
!is" #or de0cient 5uid volume
De0cient Knowledge regarding condition*
prognosis* treatment* sel#
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Vit+ = De0ciency
>ustin Antes
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%ossible Nursing %roblems
Activity intolerance related to wea"nesssecondary to decreased tissue o9
Imbalanced nutrition related to less
than body re7uirements related to lac"o# motivation to coo" andunderstanding o# nutritional needs
De0cient "nowledge * related to lac" o#in#ormation about a well
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2xpected 4utcomes
Verbali'e the importance o# ta"ing#olic acid supplements and eating abalanced diet
!eturn to previous level o# physicalenergy+
Consume a balanced diet* including#oods containing #olic acid
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ANEMIA 0 INCREA(ED CE## DE(1R2C1ION3HEMO#Y1IC ANEMIA4
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(2?4):3IC AN2?IA
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!2VI2& @ ANA34?: %(:SI4)41:
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DI2!2N3 3:%2S 4 1)4IN C(AIN
2%SI)4N C(AIN -B23A C(AIN -A)%(A C(AIN -23A C(AIN -1A??A C(AIN -D2)3A C(AIN -
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2)2C3!4%(4!2SIS
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SICK)2 C2)) DIS2AS2
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SICK)2 C2)) DIS2AS2
( AA( AS( AS( SS
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SICK)2 C2)) DIS2AS2%A3(%(:SI4)41:
%4IN3 ?3A3I4N IN 3(2 23A C(AIN< 8 NC)243ID2A)32!A3I4N IN 3(2 3!ANSC!I%3I4N 4 A?IN4 ACIDVA)IN2 IS INS2!32D INS32AD 4 1)3A?IC ACID 4N 3(2 23A 1)4IN S3C3!2 AN4!?A)I3:
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SICK)2 C2)) DIS2AS2 S/Sx
AN: (:%4EIC C4NDI3I4N23A 1)4IN AN4!?A) %!43!SI4N(2?41)4IN &I)) %!2CI%I3A32 IN34 12)(2?41)4IN S3!C3!2S 4!?2D I!4S %4):?2!SICK)2 C2)) AN2?IAS%)2N4?21A): (2%A34?21A):(I1( NC4N>1A32D I)I!IS)I1(3 >ANDIC2I)I S34N2S%AIN A33ACKS!23IC)4C:34SIS2N)A!12?2N3 4 3(2 4N2S IN 3(2 AC2 AND SK))
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SICK)2 C2)) DIS2AS2 S/Sx
%AIND2)A:2D 1!4&3(VISA) %!4)2?SA34S%)2N2C34?:!2F2N3 IN2C3I4NS
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(:%4EIC C4NDI3I4N
(I1( A)3I3D2S2V2!2 2E2CIS2AN2S3(2SIA @ 4%2!A3I4NIN2C3I4ND2(:D!A3I4NIN)A??A3I4N
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S2V2!2 (:%4EICC4NDI3I4N
%AIN A33ACKSVAS4 4CC)SIV2 A33ACK!? 2E%ANSI4N
SICK)2 C2)) DIS2AS2 C(!4NIC
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SICK)2 C2)) DIS2AS2 C(!4NICS2V2!2 (:%4EIC C4NDI3I4N
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SICK)2 C2)) C!ISIS
VAS4 4CC)SIV2 C!ISISA%)AS3IC C!ISISS2F2S3!A3I4N C!ISIS(2?4):3IC C!ISIS
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VAS4 4C)SIV2 C!ISIS
AC32 C(2S3 S:ND!4?2!AIN C4?%)ICA3I4NS%)?4NA!: (:%2!32NSI4N4!1AN DA?A12)INDN2SSSKIN )C2!S
"RIA"I(M
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3!2A3?2N3
(:D!A3I4N4)IC ACID AND %2NICI))INANA)12SICS2EC(AN12 4! )44D 3!ANSSI4N @ I!4N )4ADIN1C(2)A3I4N(:D!4E:!2AA!1ININ24N2 ?A!!4! 4! S32?C2)) 3!ANS%)AN3
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N!SIN1 IN32!V2N3I4NS
8+ (:D!A3I4N
9+ ?anaging pain
G+ %reventing and managing in#ectionsH+ Vaccinations
+ ?inimi'ing de0cient "nowledge
+ %romoting coping s"ills
J+ ?onitoring and managing potential complications+ %romoting home and community based care
=+ Stem cell transplant and gene therapy
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3(A)ASS2?IA
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3(A)ASS2?IA
N4!?A)3!AI33!AI3A2C32D
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A)%(A 3(A)ASS2?IA%A3(4%(:SI4)41:
A%)(A 3(A)ASS2?IA
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A%)(A 3(A)ASS2?IA%A3(4%(:SI4)41:
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A)%(A 3(A)ASS2?IASI)2N3 CA!!I2!3(A)ASS2?IA 3!AI3( ( DIS2AS2 -H(2?41)4IN A!3S -HAS:?%34?A3IC?I)D AN2?IAS2V2!2 AN2?IA -2E3!AVASC)A! (2?4):SIS.(:D!4%S 23A)IS
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3!2A3?2N3
4)IC ACID2EC(AN12 4! )44D 3!ANSSI4N @ I!4N )4ADIN1C(2)A3I4N4N2 ?A!!4! 4! S32?C2)) 3!ANS%)AN3
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23A 3(A)ASS2?IA
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23A 3(A)ASS2?IA
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23A 3(A)ASS2?IA
3(A)ASS2?IA ?IN4!3(A)ASS2?IA IN32!?2DIA3(A)ASS2?IA ?A>4!AS:?%34?A3IC INC!2AS2D ( A9 ( S2V2!2 AN2?IA @ ?A: !2FI!2 2%IS4DIC )44D 3!ANSSI4NS2V2!2 AN2?IA @ )44D 3!ANSSI4N 4! )I2
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%A!4E:S?A) N4C3!NA)
(2?41)4IN!IA
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C4?%)2?2N3 %!432IN @ ?2?!AN2
A33ACK C4?%)2E
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%A!4E:S?A) N4C3!NA)
(2?41)4IN!IA
ACFI!2D IN3!INSIC (2?4):SISDIS2AS2 4 ?:2)4ID S32? C2))?3A3I4N 4N E C(!4?4S4?2S @ %I1 A 12N2D22C3IV2 C(4N 4N C2)) ?2?!AN2 A1AINS3 C4?%)2?2N3 C(4N%!4N2 34 A33ACK : C4?%)2?2N3 %!432IN!C &I)) 2 D2S3!4:2D IN 3(2 CI!C)A3I4N
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%A!4E:S?A) N4C3!NA)(2?41)4IN!IA S/Sx
C(!4NIC (2?4):SIS%ANC:34%2NIAIN3!AVASC)A! (2?4):SISINC!2AS2D N4C3!NA) (2?41)4IN!IAC49 !23AIN IN )44D D!IN1 3(2 NI32DA!K !IN2 D!IN1 3(2 NI322S4%(A12A) S%AS?2!2C3I)2 D:SNC3I4NAD4?INA) %AIN%)?4NA!: (:%2!32NSI4N
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%N( )AS
IN3!AVASC)A! AN2?IAINC!2AS2D )D(V2!: )4&/N4 (A%341)4IN)4& C:34?23!:
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3E3
S32!4IDS
3
&A!A!IN
C(2?43(2!A%:
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%N( 3!2A3?2N3
S32!4IDS&A!A!IN)44D 3!ANSSI4NC(2?43(2!A%:
2AS2D !2D C2)) D2S3!C3I4NN3!AC4!%SC)A!
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2AS2D !2D C2)) D2S3!C3I4NN3!AC4!%SC)A!
I??N2 ?2DIA32D
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I??N2 ?2DIA32D(2?4):SIS
IS4 AN3I4D:A34 AN3I4D:
N4N
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N4N I??N2 ?2DIA32D (2?4):SIS?2C(ANICA) CAS2
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)2C3!2 4N !IDA:
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&C DIS4!D2!S
%!4)I2!A3IV2 DIS4!D2!
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%!4)I2!A3IV2 DIS4!D2!4 &C
8+ !2AC3IV2 %!4)I2!A3I4N SI?%)2 )2K4C:34SIS
)2K2?4ID !2AC3I4N
9+ N24%)AS3IC %!4)I2!A3I4N )2K2?IA
):?%(4?A
AC32
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AC32)2K2?IA/):?%(4?A
?4!2 %!4)I2!A3IV2AS3 %AC2DA11!2SSIV2)A!12 C2))SINDI2!2N3IA32DI??A3!2N4N NC3I4NA)
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C(!4NIC )2K2?IA/):?%(4?A
)2SS %!4)I2!A3IV2S)4& %AC2D)2SS A11!2SIV2S?A)) C2))SDI2!2N3IA32D?A3!2?INI?A) NC3I4N
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DIA1N4S3ICS
12N43:%IN1%(2N43:%2?4!%(4)41:C)INICA) 2A3!2S4N2 ?A!!4& AS%I!A32?A!K2!S
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3!2A3?2N3
C(2?43(2!A%(:!ADIA3I4N?/SC 3!ANS%)AN3
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Acute ?yeloid )eu"emia
Section 9 @ 1roup 9
?ichelle ?agsalin
Danica ?ae ?iro
Steven Navarro
Kevin Nones
Kristng Santos
Defnition AM# 0 Ac)te Myeloid #e)&emia 0 a res)lt $rom de$ect o$
hematopoietic stem cell that ca)ses )ndi5erentiated blasts o$
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hematopoietic stem cell that ca)ses )ndi5erentiated blasts o$
myeloid in the bone marro%Ca)se ?utation+ C/2%A point mutation(i!ns and (ymptoms ever and in#ection @ result #rom neutropenia
leeding #rom 3hrombocytopenia
(yperplasia o# the gum @ -A?) is more li"ely to in0ltrate so#t tissues.
(epatomegaly
Splenomegaly%riapism -pain#ul engorgement o# the penis.
N)rsin! Inter,ention %revent patient #rom contacting any in#ection < ?onitor CC results especially
neutrophil count+
(and hygiene * proper precaution -such as wearing %%2s* reverse isolation.
when handling the patient*
Anti#ungal * antibacterial -7uinolones. prophylaxis #or severely neutropenic
patients
%alliative care< %ain ?anagement%atients receiving high
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Acute )ymphocytic)eu"emia -A)).
6ro)p 7 38n)o7 and 8n)o94Antes' Antonio' an!eles' arriola' !alap
Man)el' marino' martin' Matias' ,elasco
De0nition Cause and Signs and Nursing interventions/ Diagnostic
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De0nition Cause and!is" actors
Signs andSymptoms
Nursing interventions/?edications
Diagnostic3ests
Acute)ymphocytic
)eu"emia -A)).
< Also calledas acutelymphoblastic
leu"emia< Cancer thatstarts #romthe earlyversion o#white bloodcells calledlymphocytes
in the bonemarrow< It can startin either early cells or 3cells atdi,erentstages o#
maturity< lymphocytesprotect thebody #rominvadinggerms by
maturing intoplasma cells*
3he cause #orA)) isun"nown
(igh numbero# leu"emiacells causes$< %ain in thebones or
6oints< )ac" o#appetite
< Nurse will limitnumber o# visitorsand interruptions byvisitors to providerest periods+
< Nurse will arrangephysical activities toreduce competition#or oxygen supply tovital #unctions* i+e+*avoid activity righta#ter meals+< Nurse will assist
with regular physicalactivities* i+e+*ambulation andtrans#ers+< Nurse willdetermine incollaboration withdietician* number o#calories and type o#nutrients needed tomeet nutritionalre7uirements to planinterventions+< Nurse will monitorrecorded inta"e #or
nutritional contentand calories to
one ?arrow3estone marrowaspirationusing a needle
to remove asample and issent to a lab#or testing toloo" #orleu"emia cells+Imaging 3ests
3o chec" i# A))hasmetastasi'eE
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Acute)ymphocytic)eu"emia -A)).
< Nurse willencourageincreased inta"e o#protein* iron andvitamin C* to
provide nutrientsneeded #ormaximum ironabsorption andhemoglobinproduction< Nurse willprovidein#ormation aboutmedications thatmay inhibit ironabsorption* suchas antacids*
tetracyclineLs* so#tdrin"s* tea* co,ee*calcium*phosphorus andmagnesium salts+< Nurse will reviewwith patient
measurements o#5uid inta"e and
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Acute)ymphocytic)eu"emia -A)).
?edications$< InductionVincristineDexamethasone orprednisoneDoxorubicin -Adriamycin.*Daunorubicin* or a similaranthracycline drug
< CNS treatment orprophylaxis?ethotrexate/Cytarabine/
%rednisone
< ConsolidationSame drugs with theInductionCNS prophylaxis may becontinued
< ?aintenance?ethotrexate and
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