Author Question: A patient who has been prescribed combination chemotherapy today has a total white blood cell (WBC) ... (Read 26 times)

frankwu

  • Hero Member
  • *****
  • Posts: 549
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

  • Sr. Member
  • ****
  • Posts: 353
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

For a complete list of videos, visit our video library