Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
Hodgkin's disease - s/s
|
PAINLESS enlargement of lymph nodes (cervical, axillary, inguinal, mediastinal...), fever, malaise, nightsweats, weight loss, fatigue, INGESTION OF SMALL AMOUNTS OF ALCHOL CAUSE PAIN AT AFFECTED LYMPH NODE SITE
|
|
|
Hodgkin's disease affected organs
|
Progresses to liver and spleen. Common metastatic sites spleen, liver, bone marrow and lungs.
|
|
|
Holdgkin's diseased diagnosed with the presence of _____ cells
|
Reed-Sternberg cells
|
|
|
Hodgkin's disease if the ____ curable of lymphomas
|
Most
|
|
|
Hodgkin tx
|
radiation or chemo
usually radiation if just in stage 1 or 2 Review stages 1-4 |
|
|
Common ages for Hodgkin's disease
|
Early 20's and after age 50
|
|
|
Non-Hodgkin's - description
|
A neoplastic growth (derived from B and T cells) that originate in the lyphoid tissue. It spreads malignant cells unpredictably, infiltrating the lympoid tissue.
|
|
|
Non-Hodgkin's risk factors
|
Increased in clients with autoimmune conditions or immunocompromised who have been on immunosupp. meds.
Associated with viral infections (Epstein-Barr) and occupational exposrue to carcinogens. |
|
|
Non-Hodgkin's s/s and tx
|
Dependent on location may include symptoms that come and go: night sweats, fever and chills, itching, swollen lymph nodes, weight loss
TX: radiation and chemo |
|
|
Multiple Myeloma what is it ?
|
Malignancy of plasma cells, specifically the B lymphocytes. Infiltration occurs in the bones and soft tissues (Illustrated page 261)
|
|
|
Multiple Myeloma s/s (see note on special lab that = this condition
|
Remember CRAB
C- calcium serum elevated R - Renal Involvement A- Anemia B- Bone lesions (back pain, bone pain, pathologic fracture, x-ray shows punched-out appearance r/t demineralization. IMPORTANT TO NOTE - INCREASED BENCE-JONES PROTEIN IN THE URINE = multiple Myeloma |
|
|
Multiple Myeloma - nursing interventions
|
Adequate hydration to prevent clcium from precipitating in the kidneys, alalgsics for pain, safety meaures to prevent pathologic fractures (do not lift > 10 lbs and proper body mechanics), prevent infection, braces may be necessary to support the spine
|
|
|
Hemophilia - description
|
Defect in the clotting mechanism. Two types Hemophilia A (factor VIII classic type) and B (factor IX deficiency aka Christmas disease)
|
|
|
Hemophilia - risk factors/etiology
|
Both types are recessive disorders - primarily affects males with females being the carrriers
|
|
|
Hemophilia s/s
|
Prolonged and persistant bleeding, hemarthrosis, spontaneous hematuria, hematoma, intracranial hemorrhage, PERECHIAE ARE UNCOMMON, because of platelet count is normal
|
|
|
Tx for hemophilia
|
Factor VIII reconstitutes with sterile water immediately before administration; given IV push ove 50-10 minutes, desmopressin, tx may be at home
|
