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Author Question: A patient will receive intrathecal liposomal cytarabine DepoCyt to treat acute myelogenous leukemia. ... (Read 59 times)

chandani

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on: Jul 23, 2018
A patient will receive intrathecal liposomal cytarabine DepoCyt to treat acute myelogenous leukemia. The provider has ordered the concurrent administration of dexamethasone. The nurse understands that this is given to:
 
  a. prevent bone marrow suppression.
  b. prevent hair loss and stomatitis.
  c. reduce the incidence of pulmonary edema.
  d. reduce the severity of chemical arachnoi-ditis.

Question 2

The nurse on an oncology unit prepares to administer the fourth cycle of docetaxel Taxotere to a patient with breast cancer. Which clinical finding would cause the nurse to withhold the dose and call the prescriber?
 
  a. Alanine transaminase (ALT) 1.2 times the upper limit
  b. Alkaline phosphatase 2 times the upper limit
  c. Neutrophil count below 1500/mm3
  d. Creatinine clearance of 130 mL/min/1.73 m2


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Benayers

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

Awesome help, super fast

Answer to Question 2

C
If the neutrophil count drops below 1500/mm3, the nurse should withhold the dose and notify the prescriber. An ALT 1.5 times the upper limit and an alkaline phosphatase 2.5 times the upper limit are concerning. The creatinine clearance is not a concern.


chandani

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Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

bassamabas

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Reply 3 on: Yesterday
Excellent

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