CONCEPT: CELLULAR REGULATIONTOPIC: Cancer – Hematology/Oncologic Emergency Ms. Y is a 44-year-old wo

CONCEPT: CELLULAR REGULATIONTOPIC: Cancer – Hematology/Oncologic Emergency Ms. Y is a 44-year-old woman diagnosed with non-Hodgkin lymphoma (NHL) 3 months ago. She finished receiving her third of six chemotherapy courses 5 days ago. Yesterday morning, she was seen at her oncologist’s office for malaise, muscle weakness, and palpitations. She had splenomegaly on examination. A computed tomography (CT) scan of the abdomen showed metastatic disease in the liver and spleen. She is admitted to the hospital with progressive weakness.Name 3 risk factors for lymphoma.A.B.C.Chart ViewComprehensive Metabolic Panel (CMP) Na                                                                                                                       139 mEq/LK                                                                                                                          6.3 mEq/LCl                                                                                                                         96 mEq/LCO2                                                                                                                      28 mEq/LGlucose                                                                                                               101 mg/dLBlood urea nitrogen (BUN)                                                                                   59 mg/dLCreatinine                                                                                                             2.5 mg/dLCa                                                                                                                         6.9 mg/dLTotal protein                                                                                                          5.4 g/dLAlbumin                                                                                                                 2.8 g/dLPhosphorus                                                                                                           4.9 mg/dLUric Acid                                                                                                                21 mg/dLTotal bilirubin                                                                                                         0.8 mg/dLAlkaline phosphatase                                                                                            172 units/LAspartate transaminase (AST)                                                                              254 units/LAlanine transaminase (ALT)                                                                                  74 units/LLactate dehydrogenase (LDH)                                                                               214 IU/L Interpret Ms. Y’s admitting comprehensive metabolic panel results. Based on the laboratory test results, which common oncologic emergency is Ms. Y experiencing? Describe the pathophysiology of this condition. What assessment findings related to this diagnosis would you expect in Ms. Y? Complete Blood Count (CBC) White blood cells (WBCs)                                                                                   1500/mm3Neutrophils                                                                                                          66% Lymphocytes                                                                                                       16 %Monocytes                                                                                                           15%Eosinophils                                                                                                          5%Hemoglobin (Hgb)                                                                                               7.9 g/dLHematocrit (Hct)                                                                                                  22.4%Platelets                                                                                                               21,000/mm3  Interpret the lab values above. Name 3 additional problems for which Ms. Y is at risk. What are your nursing priorities right now and why? Medication Record IV 0.9% normal saline at 150 mL/hr                                                                                                                     100 mEq sodium bicarbonate (NaHCO3) in the first liter of the IV fluid                                                                                                                         rasburicase 6 mg IV now                                                                                                                        allopurinol 500 mg twice a day orally                                                                                                                 furosemide 40 mg IVP now then every 6 hours                                                                                                               sodium polystyrene sulfonate (Kayexalate) 15 g orally every 6 hours                                                                                 aluminum hydroxide 2 caps orally with meals                                                                                                               What is the expected outcome associated with each medication Ms. Y is receiving?normal salineNaHCO3rasburicaseallopurinolfurosemideKayexalate What are your nursing responsibilities when administering Kayexalate? Discuss 2 major complications that could happen if Ms. Y’s abnormal laboratory test results (CMP results) will not be resolve?A.B. Name 3 signs and symptoms for each of the following problems.A. anemiaB. neutropeniaC. thrombocytopenia List at least 7 independent nursing interventions that you would include based on the client’s abnormal laboratory test results.A.B.C.D.E.F.G.Comprehensive Metabolic Panel (CMP) day 2 Na                                                                                                                       136 mEq/LK                                                                                                                          4.7 mEq/LCl                                                                                                                         104 mEq/LCO2                                                                                                                      26 mEq/LGlucose                                                                                                               110 mg/dLBlood urea nitrogen (BUN)                                                                                  36 mg/dLCreatinine                                                                                                            2.1 mg/dLCa                                                                                                                        7.9 units/LTotal protein                                                                                                         5.4 g/dLAlbumin                                                                                                                2.8 g/dLPhosphorus                                                                                                          4.1 mg/dLUric Acid                                                                                                               2.0 mg/dLTotal bilirubin                                                                                                        1.0 mg/dLAlkaline phosphatase                                                                                            94 units/LAspartate transaminase (AST)                                                                              46 units/LAlanine transaminase (ALT)                                                                                 44 units/LLactate dehydrogenase (LDH)                                                                               222 IU/L Interpret Ms. Y’s latest lab results by comparing it with the previous laboratory test results 24 hours ago. If you think that the client’s condition is resolving, what other interventions would you include in her plan of care? List at least 5 other oncologic emergencies and give at least two nursing interventions for each.A.B.C.D.     Health Science Science Nursing CNURSING MISC Share QuestionEmailCopy link Comments (0)

Having Trouble Meeting Your Deadline?

Get your assignment on CONCEPT: CELLULAR REGULATIONTOPIC: Cancer – Hematology/Oncologic Emergency Ms. Y is a 44-year-old wo completed on time. avoid delay and – ORDER NOW

Do My Paper

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.