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APHON

Nursing Assessment In Childhood Hematology Oncology (ppt 3)

QuestionAnswer
Chief complaints in childhood CA (8) Pallor, bleeding; fatigue; Persistent fever; h/a visual changes; lymphadenopathy; bone, joint pain or change in gait; abdominal mass; chough resp change
clinical manifestations of CA (3) change in blood cell counts (2ndry chronic dx or bone marrow infiltration); Mass (2ndry compression of organs & vital structures) Tumor byproducts (electrolytes, hormones, metabolism, immunologic response)
Purpura VS petechiae Purpura > 5mm nonblanching Petechiae < 5mm nonblanching, pressure points
Clinical findings seconary to altered blood cell production fever, infection, fatigue
Def mediastinum space between: sternum & spine; suprasternal notch & diaphragm; parietal pleura
Anotomical structures in mediastinum thymus, thyroid, esophagus, lymph nodes, trachea & bronchi, Heart & pericardium, great vessels, nerves
Causes of mediastinal mass leukemia, lymphoma, neuroblastoma, other tumors, infections (Eg TB)
Respiratory clinical findings with mediastinal mass cough, wheezing, tracheal/ bronchial compression, respiratory distress/ arrest. Compensation may involve pillow use / increased difficulty when supine
Two prohibited actions on a pt with a mediastinal mass -lying supine or prone-sedate without intubating
Circultory findings in pt with mediastinal mass -facial swelling-JVD-compression of great vessels/ vital structures
Lymphadenopathy findings 2ndry to masses abnormal enlargement of lymph nodes (>1cm, firm matted)Location: regional vs generalized-epitrochlear (elbow) & surpaclavicular nodes usually pathologic
Clinical findings secondary to abdominal masses pain, GI symptoms, urinary symptoms
Clinical findings secondary to musculoskeletal masses Constitutional symptoms (fatigue, fever, wt loss; Pain (constant or present at night (malignant))(worse with motion better with rest (trauma/ infection)); gait change
Clinical findings secondary to CNS tumor Morning h/a, n/v, hemiparesis, cranial nerve palsies, diplopia, nystagmus, strabismus, ataxic gait, decreased coordination, seizures, irritability/ lethargy, personality changes, head tilt, macrocephaly, bulging font, short stat, growth decel, preco pub
Created by: JennRN
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