Question

9:50 @VB. *Sill 100% X Case Study. Chap... : : Case Study, Chapter 34, Management of Patients With Hematologic Neoplasms 1. John King, 60 years of age, is a male patient who is admitted with the diagnosis of multiple myeloma. He presents with a spinal fracture of the fifth lumbar vertebrae. The patient is scheduled for a vertebroplasty of the spinal fracture. The patient is to remain on bed rest and should be log rolled. Osteolytic lesions are seen in x-rays of the skull, vertebrae, and ribs. The patient has hypercalcemia. The patient's uric acid level is elevated. The patient has orders for zoledronic acid (Zometa), thalidomide (Thalomid), allopurinol (Zyloprim), calcitonin, ibuprofen, and Vicodin. (Learning Objective 5) a. What nursing management should the nurse provide the patient? b. Explain the indication and action of the various medications ordered to treat the patient's symptoms. 2. Susan Clare, age 38, is admitted to the medical oncology unit with acute myeloid leukemi (AML). She has many areas of ecchymosi. petechiae on her skin, as well as generalized nallar Cho ctroc cho hae Incr 15 naunde in tho

Answer 1

1Q).

a). The nursing management of this patient include,

• Pain assessment and management
• Educating the patient about the need for appropriate hydration and diet
• Management of fatigue
• Providing appropriate psychological support for the patient and family

b).

The pharmacological actions of the given drugs are,

• Zoledronic acid - lowers high blood calcium levels
• Thalidomide - immunomodulatory drug
• Allopurinol - to treat gout and prevent the further rise in uric acid level
• Calcitonin - to regulate levels of calcium and phosphate levels
• Ibuprofen - Nonsteroidal anti-inflammatory drug (NSAID), acts as a pain reliever
• Vicodin - an opioid (narcotic) pain reliever