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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Adult 2 Final
Concepts Covered:
- Immunological Disorders
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Neurological Emergencies
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Central Nervous System Disorders – Spinal Cord
- Infectious Respiratory Disorder
- Respiratory Disorders
- Noninfectious Respiratory Disorder
- Oncology Disorders
- Hematologic Disorders
- Oncologic Disorders
- Cardiac Disorders
- Acute & Chronic Renal Disorders
- Renal Disorders
- Urinary Disorders
- Vascular Disorders
- Emergency Care of the Cardiac Patient
- Pregnancy Risks
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