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APHON
Nursing Assessment In Childhood Hematology Oncology (ppt 3)
| Question | Answer |
|---|---|
| Chief complaints in childhood CA (8) | Pallor, bleeding; fatigue; Persistent fever; h/a visual changes; lymphadenopathy; bone, joint pain or change in gait; abdominal mass; chough resp change |
| clinical manifestations of CA (3) | change in blood cell counts (2ndry chronic dx or bone marrow infiltration); Mass (2ndry compression of organs & vital structures) Tumor byproducts (electrolytes, hormones, metabolism, immunologic response) |
| Purpura VS petechiae | Purpura > 5mm nonblanching Petechiae < 5mm nonblanching, pressure points |
| Clinical findings seconary to altered blood cell production | fever, infection, fatigue |
| Def mediastinum | space between: sternum & spine; suprasternal notch & diaphragm; parietal pleura |
| Anotomical structures in mediastinum | thymus, thyroid, esophagus, lymph nodes, trachea & bronchi, Heart & pericardium, great vessels, nerves |
| Causes of mediastinal mass | leukemia, lymphoma, neuroblastoma, other tumors, infections (Eg TB) |
| Respiratory clinical findings with mediastinal mass | cough, wheezing, tracheal/ bronchial compression, respiratory distress/ arrest. Compensation may involve pillow use / increased difficulty when supine |
| Two prohibited actions on a pt with a mediastinal mass | -lying supine or prone-sedate without intubating |
| Circultory findings in pt with mediastinal mass | -facial swelling-JVD-compression of great vessels/ vital structures |
| Lymphadenopathy findings 2ndry to masses | abnormal enlargement of lymph nodes (>1cm, firm matted)Location: regional vs generalized-epitrochlear (elbow) & surpaclavicular nodes usually pathologic |
| Clinical findings secondary to abdominal masses | pain, GI symptoms, urinary symptoms |
| Clinical findings secondary to musculoskeletal masses | Constitutional symptoms (fatigue, fever, wt loss; Pain (constant or present at night (malignant))(worse with motion better with rest (trauma/ infection)); gait change |
| Clinical findings secondary to CNS tumor | Morning h/a, n/v, hemiparesis, cranial nerve palsies, diplopia, nystagmus, strabismus, ataxic gait, decreased coordination, seizures, irritability/ lethargy, personality changes, head tilt, macrocephaly, bulging font, short stat, growth decel, preco pub |
Created by:
JennRN
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