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RNSG 1343 Neutropeni

Chapter 29 White blood cell disorders Neutropenia

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.
Created by: pdimple