29 Dec Case Study – Neutropenia & Nausea
Module 8 Assignment
Case Study – Neutropenia & Nausea
Max is a 40-year-old male who is taking filgrastim (Neupogen) for neutropenia. He is receiving Rituxan, Cytoxan, Adriamycin, Oncovin, and Prednisone every 3 weeks for acute lymphocytic leukemia. He is 5 ft 8 inches and currently weighs 130 pounds. He has recently lost 20 pounds and a lot of hair. His primary complaints at this time are nausea/vomiting, chancre sores, bone pain, and tenderness in the left upper quadrant of his abdomen. He adds that his urine has been reddish-brown for some time. His lab work shows no problems with renal function. His platelet and hemoglobin counts are typically low, but today they are fine. You note that he received platelets and PRBCs yesterday. His vital signs are: BP 120/72 HR 82 RR 22 T 37OC. His neutrophil count is 6,000/mm3 today. To manage his nausea and vomiting, he is started on metoclopramide.
Assignment:
Write two nursing diagnoses with related to and as evident by statements (Only one may be at risk for)?
Name some nonpharmacological nursing interventions to treat Max’s discomfort?
What safety precautions should be implemented in caring for Max?
What is the action for filgrastim, Cytoxan, and metoclopramide?
What significant side effects/adverse effects are possible filgrastim, Cytoxan, and metoclopramide?
Max states that he heard cannabis is used to treat pain and nausea in cancer patients. Would this be a suitable treatment for max? Why or why not?
What would be the process for allowing Max to use cannabis for a medical condition?
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