Oncology Nursing Solved Review Solution
Neutropenia - Answer->• ANC of <1000
• Occurs a few days after drug administration, lowest neutrophil count
... [Show More] (nadir) occurs
10-14 days into therapy
• Neutrophils recover in 3-4 weeks
ANC - Answer->• Absolute Neutrophil Count
• WBC x %Neutrophils
Neutrophils - Answer->Play essential role in fighting infection. Lifespan of 2-4 hours.
Segs - Answer->Mature Neutrophils
Bands - Answer->Immature Neutrophils
Neutropenic Precautions - Answer->• ANC <1000
• Private room, no plants, flowers, or free standing water
• VS Q4H or more often as indicated
• Handwashing!!
• Maintain good personal hygiene
Assess for Neutropenia - Answer->• Mouth, nose & skin for s/s infection
• FEVER MAY BE ONLY SIGN
• Alert for s/s sepsis (chills, rigors, temp spike, hypotension, tachycardia)
• Check peripheral and central lines for infection
• Administer antipyretics/abx (do not mask fever)
• Monitor neutrophil counts
Neutropenia Treatments - Answer->• Administer Colony Stimulating Factors (CSF) as
ordered to stimulate neutrophil production
• Avoid crowds and pet excrement, adequate nutrition/hydration, adequate
rest/exercise, s/s to report
• FEVER!!
Neutropenic Fever - Answer->THREE oral temps >100.4 in 24 hours or one temp
>101.3
Thrombocytopenia - Answer->PLATELET COUNT <150,000
• Normal platelet count 150,000-400,000
• Average platelet life span 7-10 days
• Platelet count drops 8-14 days post chemo
Platelet Count <50,000 - Answer->• Avoid drugs that promote bleeding (ASA,
anticoagulants)
• Avoid IMs, use IVs cautiously
• Avoid invasive procedures (rectal temps)
Platelet Count <5000 - Answer->• Strict bedrest
• Administer platelet transfusions
• Monitor for adverse reactions (chills, fever)
Thrombocytopenia Teaching - Answer->• Electric razor
• Mouth sponge for oral care
• Avoid constipation, enemas, or rectal suppositories
• Avoid drugs that promote bleeding
• S/S to report
Anemia - Answer->Normal RBC: 4.2-6.1 appx
• Life span of 120 days
• If anemia occurs it is 3 months past treatment [Show Less]