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Author Question: A patient who has been prescribed combination chemotherapy today has a total white blood cell (WBC) ... (Read 7 times)

frankwu

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on: Jul 23, 2018
A patient who has been prescribed combination chemotherapy today has a total white blood cell (WBC) count of 5 cells/mm3, a lymphocyte count of 2.2 cells/mm3,
 
  a segmented neutrophil count of 1.8 cells/mm3, a basophil count of 0.15 cells/mm3, an eosinophil count of 250 cells/mm3, and a band neutrophil count of 0.6 cells/mm3 . What does the nurse calculate as the absolute neutrophil count (ANC)?
  _____ cells/mm3

Question 2

Which complications or responses to chemotherapy have a greater impact among older adults who receive intravenous chemotherapy? (Select all that apply.)
 
  a. Alopecia
  b. Headache
  c. Nausea and vomiting
  d. Neutropenia
  e. Peripheral neuropathy
  f. Stomach and intestinal changes


kalskdjl1212

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Reply #1 on: Jul 23, 2018
Answer to Question 1

2400
Calculate the ANC by adding the number of segmented neutrophils and band neutrophils togeth-er, then multiplying the total by 1000 . In this case, the WBC differential shows 1.8 segmented neutrophils and 0.6 band neutrophils; the total is 2.4 multiplied by 1000, or 2400 cells/mm3 .

Answer to Question 2

C, D, E
Nausea and vomiting do not occur more frequently in older adults compared with younger adults, but they are more likely to lead to dehydration in older adults. Older adults have age-related reduced activity of the bone marrow, including production of white blood cells. This reduced activity is intensified with chemotherapy, greatly increasing their risk for life-threatening infection. Peripheral nerve function decreases with aging; chemotherapy-induced peripheral neuropathy occurs at lower dosages in older adults, increasing these patients' risk for injury. Chemotherapy-induced alopecia, headache, and stomach/intestinal alterations do not appear to occur more frequently in older adults than younger adults.


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