Hematology and Immunology Neoplasms Flashcards
acute myeloid leukemia
- definition
defect in stem cell that differentiate into all myeloid cells
acute myeloid leukemia
- bleeding issues
anemia
thrombocytopenia
neutropenia
acute myeloid leukemia
- common?
most common
acute myeloid leukemia
- manifesations
fever/infection
weakness/fatigue
bleeding tenedcies
pain from enlarged liver/spleen
hyperplasia of gums
bone pain
acute myeloid leukemia
- treatment
aggressive chemo
induction therapy
indication therapy
very aggressive
suppresses every cell
makes blood issues worst at first
hospitalized couple of weeks
chronic myeloid leukemia
- defintion
mutation in myeloid stem cell with uncontrolled proliferation cells
chronic myeloid leukemia
- life expectancy
3-5 years
chronic myeloid leukemia
- mainifesations
initially asymptomatic
shortness of breath (leukostasis)
enlarged liver or spleen
malaise
anorexia
weight loss
confusion
chronic myeloid leukemia
- treatment
immunosuppressive therapy
- Gleevec
chemo
all leukemias are at risk for
infection
acute lymphocytic leukemia
- defintion
uncontrolled proliferation of immature cells from lymphoid stem cells
acute lymphocytic leukemia
- manifesations
meningeal involvement (severe headache, nuchal rigidity, seizures, photophobia)
liver/spleen/bone pain
leukemic cell infiltration is more common
acute lymphocytic leukemia
- treatment
chemo
monoclonal antibodies
nursing goals of leukemias
absence of complications
pain attainment
maintence of nutrition
activity tolerance
ability for self care
positive body image
hodgkin disease
- age
incidence in early 20 and again after age 50
hodgkin disease
- cure rate
excellent with treatment
hodgkin disease
- manifestations
lymph node enlargement (normally one)
pruitus
fever
sweats
weight loss
hodgkin disease
- treatment
determined by stage of disease
may include chemo/radiation
non hodgkin lymphoma
- defintion
lymphoid tissues become infiltrated with malignant cells
spread is unpredictable
non hodgkin lymphoma
- age
50-60
non hodgkin lymphoma
- treatment
determined by stage of disease
interferon/chemo/radiation
multiple myeloma
- defintion
malignant disease of plasma cells in the bone marrow with destruction of bone
multiple myeloma
- cure
none
multiple myeloma
- life expectancy
2.5-5 years
multiple myeloma
- manifestations
bone pain
osteoporosis
fractures
hypercalcemia
renal damage
symptoms of anemia
fatigue
weakness
multiple myeloma
- increased risk of
bleeding and infection and bone fractures
multiple myeloma
- treatment
chemo
steroids
radiation
bisphosphonates
