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PEDIATRIC MALIGNANCY

Childhood Cancers

QuestionAnswer
ANC measures the number of neutrophil granulocytes present in the blood. decreased levels indicate neutropenia
Lumbar puncture withdraws CSF to provide diagnostic and staging workup. What nursing interventions are needes after procedure? Child must remain in the supine position for 4-6 hrs
Chemotherapy Side Effects (6) neutropenia, thrombocytopenia, anemia, nausea, vomiting, mucositis
Myelosupression Side Effects (5) nausea, vomiting, diarrhea, hair loss, skin problems
Signs of Chemotherapy drug toxicity (3) proteinuria, hematuria, Increased creatinine levels
Nursing responsibilites for a child receiving radiation therapy include: providing concrete explanations to child/family regarding the procedure and side effects
Biologic Response Modifiers (BRM) side effects associated with administration flulike symptoms, fluid retention, low-grade fever, bone pain, chills, rash, neuropathic pain
Nausea and Vomiting is treated with: antiemetics before and after chemo and continued on regular basis
Stool Softener administered for the constipated child is docusate sodium (Colace)
Increased risk of infection occurs 7-10 days after chemotherapy, because the immune cell count is the lowest. This period is called? nadir
What kind of vaccinations are contraindicated in immunosuppressed children? live-bacteria and live-virus. only administer inactivated vaccines
Septic Shock nursing interventions Initiate isotonic or crystalloid boluses. Broad-spectrum antibiotics.
SIADH manifestations: hyponatremia, low serum osmolality, High urinary SG and osmolality, decreased urinary output
Created by: rm0007
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