Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/40

Click to flip

40 Cards in this Set

  • Front
  • Back
NL WBC IS
5,000-10,000
TWBC INCLUDES
GRANULOCYTES,, LYMPHOCYTES, & MONOCYTES
60% OF ALL WBC'S ARE
GRANULOCYTES
93% OF ALL GRANULOCYTES ARE
NEUTROPHILS
CERTAIN DRUGS, DRUG TOXICITY,, DRUG HYPERSENSIVITY OR SOME, DISEASES
CAUSES of neutropia
MOST COMMON , CAUSE, IS
IATROGENIC
TWO TYPES OF DRUGS SUPPRESS GRANULOCYTE, PRODUCTION
CANCER CHEMOTHERAPEUTIC DRUGS (ALWAYS), IMMUINOSUPPRESSIVE DRUGS
LEUKEMIA, HIV, BONE, MARROW TUMORS
DISEASES THAT SUPPRESS GRANULOCYTE PRODUCTION
The faster the drop and the longer the duration of neutropenia
the more danger that the patient will develop an infection
1ST 2-3 DAYS PATIENT C/O
FATIGUE, WEAKNESS, NON-\PRODUCTIVE COUGH, SORE THROAT
neutropenia SYMPTOMS 1ST 2-3 DAYS MAY SEEM LIKE
MINOR COMPLAINTS BUT CAN PROGRESS
LATER PT. DEVELOPS ADDITIONAL SYMPTOMS
FEVER, CHILLS, SEPSIS & SEPTIC SHOCK (IF UNTREATED)
SYMPTOMS USUALLY NOT PRESENT WITH NEUTROPENIA
CLASSIC SIGNS OF INFECTION , PURULENT DRAINAGE, REDNESS, SWELLNG
CLASSIC SIGNS OF INFECTION ARE USUALLY NOT PRESENT, (PURULENT DRAINAGE, REDNESS, SWELLNG), D/T DIMINSHED
PHAGOCYTIC RESPONSE
CLASSIC SIGNS OF INFECTION ARE USUALLY NOT PRESENT, WBCS ARE MAJOR COMPONENT OF
PUS
SYMPTOMS WITH neutropenia THE TEMP (FEVER)
MAY NOT BE OVER 100
A TEMP. OF IS CONSIDERED TO BE AN INFECTION UNTIL, PROVEN OTHERWISE WITH NEUTROPENIC PT
ANY
What is the etiology of netrupenia?
normal flora
What is the treatment if a fever develops with a neutropenic pt?
immediate antibiotics (within one hour)
How are antibiotics used to treat neutropenic pt?
combination
Why are antibiotics used in combination with neutropenic pt?
syngergistic effect
What type of medication is used with antibitoic to treat neutropenic pt?
aminoglycosides
Give 2 examples of antibiotics used to treat neutropenic pts?
cephalosporin & pnenicilliln
What type of infusion may be given to treat neutropenic pt?
granulocyte transfusion
Give 2 examples of granlocyte conlong-stimulating factr (GCSF or GM-, CSF) that might be used to treat pt with neutropenia?
neupogen, filgatrin
What's the mortality rate of pts w/neutropenia that aren't , treated?
80% die in one week
What is a new prevention protocol with chemo pts to reduce , chance of getting neutropenic?
give filgastrin 24 hrs after chemo
Leukopenia is diagnosed when TWBC is ?
<4000
Leukopenia is diagnosed when neutrophil count is?
500-1000
Pt is at moderate risk with a TWBC of?
4000
Pt is at moderate risk with a neutrophil count of?
500-1000
Pt is at severe risk with a neturophil count of?
<500
Bone marrow characteristic found with leukpenia, when doing , diagnostic bone marrow aspiration?
absence of granulocytes
urine, muoth & throat cultures are postive for 2 things in pt. with , leukpoenia (neutropina/agranulocytosis)?
postive for either bacteria or overgrowth of normal flora
How are blood cultures done with leukopenic pt, for diagnostic , purposes
serial blood clutures
What s/b monitored when giving meds to neutropenic pt?
WBC
What should nurse being observing for with neutropenic pt
fatigue
Should the nurse encourage fluids in pts with neutropenia?
yes - force fluids
Giving GM-CSF is used in management of what type of pts?
neutropenic
Laminar air-flow & hepa air filters a re used in the management of , what type of pts?
neutropenic