Question

Lab values related to leukemia (how does leukemia show up in CBC) – wbc, h/h. rbc and platelets

when taking care of this patient what do we delegate as RNs?

please type :) thank you

Answer 1

leukaemia is the cancer found in the blood and bone marrow.
It's caused by the rapid production of abnormal WBCs.
Leukaemia is diagnose by the bone marrow aspiration and by the CBC,the cbs shows abnormal counts of WBC's,RBCs,platlets and Hb.
WBC-low WBC's(normal value:-4000-11000/ml of blood)
RBC-low Rbcs(normal:-4.7-6.1million cells/ml of blood)
Platelets-low platlets(normal:-1,50,000-4,50,000/ml of blood)
Hb:-low hb(normal:-13.5-17.5gm/dl)
*patient's care of leukaemia:-
Due the decreased value of these blood cells counts problems related to these,are main concerns these are following:-
Infection,bleeding,fatigue,Nutritional deficiencies.
1.Infection:-client became immunosuppressive cause of low WBC's.
Nursing care:-Nurse should isolate the client and stricken hand washing to all personnel and visitors
Prohibited use of fresh fruits vegetables and flowers to protect from exposure to micro organisms.
2.Bleeding:- due to extreme low counts of Platlets.
Nursing care:-
Handle the client gently to prevent from any injury and bleeding.
Avoid any invasive procedures.
3.Fatigue:- due to low RBCs and Hb
Nursing care:-
Provide high calorie,high protein,high carbohydrated diet.
Provide diet which increase the Hb level

*Oral care is also important to the client to prevent the stasis of secreations and to protect the respiratory infections.
*Skin care should be provided timely to prevent from infections and sores.