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RNSG 1343 Neutropeni
Chapter 29 White blood cell disorders Neutropenia
| Question | Answer |
|---|---|
| Neutropenia | – Decrease in circulating neutrophils – Development/maturation of granulocytes in bone marrow suppressed – Agranulocytosis – Aplastic anemia |
| Pathophysiology of Neutropenia | • Number of circulating neutrophils falls rapidly. • Immunity significantly reduced • Opportunistic bacterial, fungal, and protozoal infections develop |
| Manifestations of Neutropenia | – Malaise – Chills, fever – Extreme weakness and fatigue |
| Treatments for Neutropenia | – Hematopoietic growth factor – Antibiotics – Isolation |
| Nursing Diagnoses for Neutropenia | – Risk for Infection |
| Nursing Care for Neutropenia | – Early identification – Protect the patient from infection – Monitor WBC count on a regular basis |
| Neutropenic Precautions | – Frequent handwashing – Private room – HEPA filtration or laminar airflow system – Mask for visitor with upper respiratory infection |
| Neutropenic Precautions | – “Minimal bacteria diet” without uncooked foods – Monitoring of daily laboratory results – Assessment of vital signs - q4h – Skin care, respiratory care – Avoid fresh fruits and vegetables; Avoid fresh flowers. |
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