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RNSG 1343 Myeloma
Chapter 29 White blood cell disorders Multiple Myeloma
| Question | Answer |
|---|---|
| Multiple Myeloma | – Malignancy in which plasma cells multiply uncontrollably |
| Pathophysiology of Multiple Myeloma | – Cells infiltrate bone marrow, lymph nodes, and spleen. – Affected bones are weakened (susceptible to fracture). – Pathologic fractures |
| Manifestations of Multiple Myeloma | – Bone pain – Rapid bone destruction – Hypercalcemia – Manifestations of neurologic dysfunction – Recurrent infections – Renal failure – Pancytopenia |
| Diagnostic tests for Multiple Myeloma | – X-rays – Bone marrow examination – CBC – Protein electrophoresis – Serum calcium, creatinine, uric acid, and BUN levels – Urinalysis – Biopsy |
| Treatment for Multiple Myeloma | – No cure – Induction chemotherapy – Stem cell transplant – Maintenance chemotherapy – Combination chemotherapy – Localized radiation therapy – Plasma exchange therapy |
| Nursing Diagnoses for Multiple Myeloma | – Chronic Pain – Impaired Physical Mobility – Risk for Injury |
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