Leukemia is cancer of the blood and bone marrow characterized by the uncontrolled production of abnormal white blood cells. Signs and symptoms include fever, fatigue, infections, bruising, weight loss, and bone or abdominal pain. Treatment involves chemotherapy, radiation, targeted therapy, immunotherapy or stem cell transplant. Nursing focuses on infection control, managing pain and fluids, enhancing tolerance to activity, and providing education to patients and families.
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Leukemia 2
Leukemia is cancer of the blood and bone marrow characterized by the uncontrolled production of abnormal white blood cells. Signs and symptoms include fever, fatigue, infections, bruising, weight loss, and bone or abdominal pain. Treatment involves chemotherapy, radiation, targeted therapy, immunotherapy or stem cell transplant. Nursing focuses on infection control, managing pain and fluids, enhancing tolerance to activity, and providing education to patients and families.
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PRINCESS ALBESOR
LEXIE VILLARRUZ SEQUENCE
DEFINITION ETIOLOGY PATHOPHYSIOLOGY MAP SIGNS AND SYMPTOMS MEDICAL AND SURGICAL MANAGEMENT NURSING INTERVENTION DEFINITION What is Leukemia:
Leukemia is a type of cancer that affects the
blood and bone marrow. It is characterized by the uncontrolled production of abnormal white blood cells. White blood cells are responsible for fighting infection in the body, but in leukemia, the bone marrow produces excessive and abnormal white blood cells, which can crowd out normal blood cells. ETIOLOGY
Causes of Leukemia: The exact cause of
leukemia remains largely unknown, but several factors may contribute to its development: Genetic Factors Environmental Exposures Pre-existing Blood Disorders Smoking Family history of leukemia PATHOPHYSIOLOGY MAP SIGN AND SYMPTOMS Symptoms and Sign of Leukemia: The symptoms of leukemia can vary depending on the type and stage of the disease, but common signs include: Fever or chills Fatigue and Weakness: Feeling unusually tired or weak, even with adequate rest. Frequent Infections: Increased susceptibility to infections due to low white blood cell count. Easy Bruising and Bleeding: Unexplained bruises or bleeding, including nosebleeds and gum bleeding. SIGN AND SYMPTOMS
Unexplained Weight Loss:
Significant weight loss without an apparent cause. Bone Pain: Pain or tenderness in bones and joints. Swollen Lymph Nodes: Enlarged lymph nodes in the neck, armpits, or groin. Abdominal Discomfort: Enlargement of the liver or spleen can lead to abdominal discomfort. MEDICAL AND SURGICAL MANAGEMENT MEDICAL CARE: Chemotherapy: Powerful drugs target and kill cancer cells. Radiation Therapy: High-energy X-rays target cancer cells in specific areas. Targeted Therapy: Drugs specifically target certain molecules involved in cancer growth. Immunotherapy: Treatment enhances the body’s immune response against cancer cells. Clinical Trials: Participation in clinical trials to access new treatments and therapies. MEDICAL AND SURGICAL MANAGEMENT SURGICAL CARE Stem Cell Transplant: Healthy stem cells are transplanted to replace damaged or cancerous cells. Bone marrow transplant: Bone marrow transplant is a choice that can be considered for a patient with ALL. it also a specialized procedure in which healthy stem cells are infused into the blood NURSING INTERVENTION
Promoting Infection Control and Management
1.Closely monitor the temperature 2.Monitor laboratory studies 3.Handle the patient gently. 4.Encourage increased intake of foods high in protein and fluids with adequate fiber. NURSING INTERVENTION
Managing Fluid Volume
1.Monitor BP and HR 2.Monitor laboratory studies: platelets, Hb/Hct, clotting 3.Promote good nutrition. 4.Encourage oral hygiene. Limit oral care to mouthwash if indicated. Avoid mouthwashes with alcohol 5.Administer RBCs, platelets, and clotting factors. NURSING INTERVENTION Managing Acute Pain 1.Investigate reports of pain 2. Provide a quiet environment and reduce stressful stimuli. Limit or reduce noise, lighting, and constant interruptions. 3 Evaluate and support the patient’s coping mechanisms. 4. Ensure a quiet and peaceful environment. NURSING INTERVENTION
Enhancing Tolerance to Activity
1.Monitor and record vital signs and oxygen saturation levels. 2.Provide quiet environment and uninterrupted rest periods. Encourage rest periods before meals. 3.Recommend small, nutritious, high-protein meals and snacks throughout the day. 4.Provide supplemental oxygen. NURSING INTERVENTION Initiating Health Teachings and Patient Education 1.Review pathology of specific form of leukemia and various treatment options. 2. Provide psychological support by establishing a trusting relationship to promote communication. 3.Involve family members or support persons in the education process.