Leukemia Case Study (60 min)
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Study Tools For Leukemia Case Study (60 min)
Leukemia Pathochart (Cheatsheet)
Symptoms of Leukemia (Image)
Leukemia – Signs and Symptoms (Mnemonic)
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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
Critical Thinking Check
Bloom's Taxonomy: Application
What furtner nursing assessments would you perform at this time?
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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.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What laboratory or diagnostic tests do you anticipate the provider ordering?
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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
Critical Thinking Check
Bloom's Taxonomy: Analysis
Based on the above lab results, what should the nurse be most concerned about?
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What do you believe may be going on, physiologically, with Mr. Devito?
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Critical Thinking Check
Bloom's Taxonomy: Analysis
What further diagnostic testing should be performed to confirm a diagnosis?
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Critical Thinking Check
Bloom's Taxonomy: Application
How would you explain this to the patient’s wife?
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Mr. Devito will be started on high-dose chemotherapy.
Critical Thinking Check
Bloom's Taxonomy: Application
What education topics should be included in teaching for Mr. Devito and his wife?
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Exam 4
Concepts Covered:
- Hematologic Disorders
- Hematologic Disorders
- Labor Complications
- Respiratory Disorders
- Proteins
- Oncologic Disorders
- Oncology Disorders
- Cardiac Disorders
- Medication Administration
- Immunological Disorders
- Renal Disorders
- Eating Disorders
- Liver & Gallbladder Disorders
- Substance Abuse Disorders
- Intraoperative Nursing
- Infectious Respiratory Disorder
- Pregnancy Risks
- Upper GI Disorders
- Microbiology
- Shock
- Postpartum Complications
- Studying
- Shock
- Disorders of the Posterior Pituitary Gland
- Emergency Care of the Trauma Patient
- Integumentary Disorders
- Central Nervous System Disorders – Brain
- Neurological Trauma
- Respiratory Emergencies
- Emergency Care of the Cardiac Patient
- Acute & Chronic Renal Disorders
- Endocrine and Metabolic Disorders
- Urinary System
- Urinary Disorders
Study Plan Lessons
Sickle Cell Anemia
Nursing Care and Pathophysiology for Sickle Cell Anemia
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)
Blood Transfusions (Administration)
Anti-Infective – Antivirals
Blood Transfusions (Administration)
Hemoglobin (Hbg) Lab Values
Hemoglobin (Hbg) Lab Values
Hemoglobin and Myoglobin
Red Blood Cell (RBC) Lab Values
Red Blood Cell (RBC) Lab Values
Nursing Care Plan (NCP) for Sickle Cell Anemia
Sickle Cell Anemia
Nursing Care Plan (NCP) for Sickle Cell Anemia
Leukemia Case Study (60 min)
Nursing Care Plan (NCP) for Leukemia
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Nursing Care Plan (NCP) for Leukemia
Leukemia
Leukemia
Antimetabolites
Alkylating Agents
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Neutropenia
Hematocrit (Hct) Lab Values
Platelets (PLT) Lab Values
Chemotherapy Patients
Anti-Platelet Aggregate
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Thrombocytopenia
Platelets (PLT) Lab Values
Hematocrit (Hct) Lab Values
Oncology Module Intro
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Lymphoma
Anti Tumor Antibiotics
Brain Tumors
Head/Neck Assessment
Corticosteroids
Pediatric Oncology Basics
Head/Neck Assessment
Corticosteroids
Multiple Myeloma
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Acute Kidney Injury
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Liver Cancer
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Cirrhosis (Liver)
Nutrition (Diet) in Disease
Liver Function Tests
Liver/Gallbladder Module Intro
Cirrhosis Case Study (45 min)
Barbiturates
Anti-Infective – Antitubercular
Benzodiazepines
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Creatinine (Cr) Lab Values
Coagulation Studies (PT, PTT, INR)
Albumin Lab Values
Furosemide (Lasix) Nursing Considerations
Anti-Infective – Antitubercular
Barbiturates
Enteral & Parenteral Nutrition (Diet, TPN)
Cholesterol (Chol) Lab Values
Atorvastatin (Lipitor) Nursing Considerations
Creatinine (Cr) Lab Values
Total Bilirubin (T. Billi) Lab Values
Cholesterol (Chol) Lab Values
Albumin Lab Values
Benzodiazepines
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Antimicrobial Vaccinations
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Fluid Volume Overload
Nursing Care Plan (NCP) for Hypovolemic Shock
Septic Shock (Sepsis) Case Study (45 min)
Nursing Care Plan (NCP) for Cardiogenic Shock
Hypovolemic Shock Case Study (OB sim) (60 min)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Cardiogenic Shock
Shock
Shock Module Intro
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Distributive Shock
Sepsis Concept Map
Sepsis Concept Map
Nursing Care Plan (NCP) for Diabetes Insipidus
Massive Transfusion Protocol
Disseminated Intravascular Coagulation Case Study (60 min)
Burn Injury Case Study (60 min)
Spinal Cord Injury Case Study (60 min)
Cerebral Perfusion Pressure Case Study (60 min)
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Metabolic Acidosis (interpretation and nursing diagnosis)
Burn Injuries
Disseminated Intravascular Coagulation (DIC)
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Fluid Volume Deficit
Nursing Care and Pathophysiology for Sepsis
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
ARDS causes Nursing Mnemonic (GUT PASS)
Nursing Care Plan (NCP) for Spinal Cord Injury
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Penetrating Thoracic Trauma
Renin Angiotensin Aldosterone System (RAAS)
Burn Injuries
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Dialysis & Other Renal Points
Blunt Chest Trauma
Spinal Cord Injury