Leukemia Case Study Flashcards
Acute lymphocytic leukemia has a high incidence in kids with?
down syndrome
kids with acute lymphocytic leukemia present with
Pancytopenia - decrease in WBC, RBC, and Platelets
when RBC break, this is released
bilirubin
do patients with acute lymphocytic leukemia have pain
yes - bone marrow is stretched (widened) - thinning of the bone - prone to fractures
dx of acute lymphocytic leukemia
bone marrow biopsy - shows blast cells consuming the bone marrow
trt of acute lymphocytic leukemia
chemo - intrathecal
most descriptive pathophysiology of leukemia
unrestricted proliferation of immature WBC’s
most probable cause of pain w/leukemia
bone involvement
myelosuppression can cause bleeding tendencies because of
decrease in blood platelets
the purpose of triple intrathecal chemo is to prevent
CNS disease
most effective pain mgmt for bone marrow aspiration
conscious or unconscious sedation
trt to minimize n/v after chemo trt
anti-emetic before chemo
a child w/leukemia develops anorexia and stomatitis, what should the parents try to do
provide soft, bland foods
normal saline or bicarbonate mouthwashes
common s/e of prednisone trt
susceptibility to infection
