Leukemia Case Study (60 min)
Included In This Lesson
Study Tools For Leukemia Case Study (60 min)
Outline
Mr. Devito is a 48-year-old male who presents to his Primary Care Provider with left upper abdominal pain and complaints of weakness and fatigue. The nurse immediately notes how pale his skin is. A full set of vital signs reveals the following:
HR 82 bpm
BP 142/90 mmHg
RR 16 bpm
SpO2 94% on Room Air
Temp 101.0°F
What furtner nursing assessments would you perform at this time?
Upon further assessment, the nurse notes a palpable mass in the left upper quadrant, possibly an enlarged spleen, that is tender on palpation. The nurse also notes petechiae and bruising to the patient’s arms and legs. When questioned, the patient says “I seem to bruise so easily these days”. The patient’s lungs have diffuse crackles, heart sounds S1 and S2 present with no murmurs. The patient also reports a slight headache.
What laboratory or diagnostic tests do you anticipate the provider ordering?
The provider orders a complete blood count, chemistry panel, and chest x-ray. The chest x-ray shows the patient has a slight pneumonia. He is sent home with a course of antibiotics while awaiting the test results.
The next day, the lab results show the following:
RBC 4.2 BUN 22
Hgb 8.4 Cr 0.9
Hct 25.2 K 3.9
WBC 144,000 Na 148
Plt 40,000 Ca 7.6
Based on the above lab results, what should the nurse be most concerned about?
What do you believe may be going on, physiologically, with Mr. Devito?
What further diagnostic testing should be performed to confirm a diagnosis?
How would you explain this to the patient’s wife?
Mr. Devito will be started on high-dose chemotherapy.
What education topics should be included in teaching for Mr. Devito and his wife?
Midterm
Concepts Covered:
- Noninfectious Respiratory Disorder
- Circulatory System
- Respiratory Disorders
- Cardiac Disorders
- Respiratory System
- Oncology Disorders
- Urinary System
- Musculoskeletal Trauma
- Hematologic Disorders
- Labor Complications
- Respiratory Emergencies
- EENT Disorders
- Newborn Complications
- Pregnancy Risks
- Vascular Disorders
- Emergency Care of the Cardiac Patient
- Nervous System
- Cardiovascular
- Terminology
- Central Nervous System Disorders – Brain
- Trauma-Stress Disorders
- Immunological Disorders
- Infectious Respiratory Disorder
- Hematologic Disorders
- Cognitive Disorders
- Substance Abuse Disorders
- Oncologic Disorders
- Emergency Care of the Respiratory Patient
- Adult
- Medication Administration
- Endocrine and Metabolic Disorders
- Emergency Care of the Neurological Patient
- Hematologic System
- EENT Disorders
- Neurological
- Cardiovascular Disorders
- Respiratory
- Liver & Gallbladder Disorders
- Neurologic and Cognitive Disorders
- Intraoperative Nursing
- Disorders of Pancreas
- Shock
- Emergency Care of the Trauma Patient
- Studying
- Neurological Trauma
- Neurological Emergencies
- Integumentary Disorders
- Peripheral Nervous System Disorders
- Adulthood Growth and Development
- Developmental Considerations