StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...

Outcome 2,8,11,12 and 13 - Essay Example

Cite this document
Summary
Outcome 2 It is very important for a nurse dealing with hematological patients to be aware of the various side effects of treatment. There was once a patient with iron deficiency anemia who was resistant to oral iron therapy and was also not tolerant to it…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER97.4% of users find it useful
Outcome 2,8,11,12 and 13
Read Text Preview

Extract of sample "Outcome 2,8,11,12 and 13"

Download file to see previous pages

On examination, his pulse rate was 120 per minute and his blood pressure was 80/50mmHg. I immediately made a diagnosis of anaphylactic reaction and stopped the iron drip. I started oxygen and initiated plain saline drip. I gave 10ml per kg bolus. I then called the house officer who was appreciative of my immediate response to the reaction that saved the patient. Intravenous iron therapy is associated with risk of anaphylactic reactions that can be fatal. hence it is important to closely monitor any patient on intravenous iron therapy.

The patient was worried and asked me as to what was the problem. I told him that he reacted to the drug that was administered to him. he then asked me as to what would be the other means of increasing his hemoglobin and I told him that the next option would be blood transfusion. Outcome 8 12 year old Annah, a known case of acute lymphatic leukemia was brought to the emergency department with complaints of fever. She has been on chemotherapy for the past 3 months. She has no other complaints except for feeling of weakness.

On examination, her pulse rate was 120 per minute and the pulses were bounding. She was febrile and even respiratory rate was high. Her blood pressures were11/90mmHg. She appeared toxic. She also looked pale. Examination of the systems revelaaed no abnormality. I suspected neutropenia in this patient secondary to chemotherapy. I send blood samples for complete blood picture including neutrophil count, blood culture and urine culture. In view of rise in respiratory rate, I checked her saturations which were normal.

I asked for an X-ray. The reports revealed neutropenia. I made a diagnosis of febrile neutropneia and called the oncologist who ordered to initiate broad spectrum anitbiotics ceftazidime and gentamycin, while awaiting culture results. The parents were worried and asked me about the cause of fever. I told them that due to cancer treatment, the defense mechanisms were lost which contributed to increased risk of infections. It is very important for a nurse taking care of hematological cancer patients to be aware of the most significant and disastrous complication, febrile nuetropenia which needs admission and management in the hospital.

Febrile neutropenia can lead to sepsis (Bedbie et al, 2000). If untreated, it can lead to severe sepsis and shock. Annah's parents were worried that she might go into shock. I understood the concerns of the patient and directed them to the physician's chamber to meet the physician who was more qualified to address the needs of the parents. Outcome 11 In our out-patient department, we often would encounter patients with iron deficiency anemia who would be started on oral iron supplements. Iron supplements are very nasty because they can cause many side effects like abdominal pain, nausea, vomiting and constipation, because of which compliance is very poor.

There was one particular 55 year old gentle man who had persistent low hemoglobin levels despite iron therapy. Infact, we were planning to evaluate for other causes of hemoglobin when his wife told us that he was not taking his medication regularly because of side effects. I then told the patient into confidence and educated him about the important and benefits of iron therapy. I told him to take iron medication about one hour after meals to minimise side effects and also to have the best absorption possible.

I told the patient to drink some orange juice after taking iron

...Download file to see next pages Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Outcome 2,8,11,12 and 13 Essay Example | Topics and Well Written Essays - 1000 words”, n.d.)
Retrieved from https://studentshare.org/environmental-studies/1420188-outcome
(Outcome 2,8,11,12 and 13 Essay Example | Topics and Well Written Essays - 1000 Words)
https://studentshare.org/environmental-studies/1420188-outcome.
“Outcome 2,8,11,12 and 13 Essay Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/environmental-studies/1420188-outcome.
  • Cited: 0 times

CHECK THESE SAMPLES OF Outcome 2,8,11,12 and 13

Locus of Control During a Frustration Task

Individuals with an external Locus of Control will be more likely to have a negative outcome during the evaluations.... This report "Locus of Control During a Frustration Task" focuses on the hypothesis that there is a correlation between Locus of Control and the degree of optimism or pessimism an individual possesses....
7 Pages (1750 words) Report

Regulations Influence on Agencys Productivity and Efficiency

The current paper "Regulations Influence on Agency's Productivity and Efficiency"  is aimed to state that Each law enforcement agency has a set of internal policy and regulations to achieve their goals in a productive and efficient manner.... hellip; The author of this paper states that the Inspector General Act of 1978 was amended after the creation of The Homeland Security Act of 2002, establishing an Office of Inspector General in the Department of Homeland Security, (oig-dhs....
11 Pages (2750 words) Coursework

Jackson County Judges

We can conclude that the main objective of this study was achieved and the probabilities of each possible outcome were determined and the judges ranked based on their performance.... Usually in an overwhelming most of the cases disposed, the verdict stands as rendered.... However, some cases are appealed, and of those appealed, some of the cases are reversed....
4 Pages (1000 words) Essay

Statistical works and solutions

From above HPI and GDP, Ecological Footprint and HDI are positively correlated while the rest are negatively correlated In conclusion, the outcome from the graphs, result generated from excel, namely mean, media and Correlation Coefficient are closely related.... It gives the probability of the distribution of variable which are quantitative variable....
3 Pages (750 words) Coursework

Statistical Analysis of the Missing Values

Going by the outcome of the t-test reported in item #5 above, we can reject the null hypothesis that there is no difference in basic pay by sex.... This research will begin with the statement that unless one employs a systematic way of managing missing data, the missing values bias statistical analysis because they are treated as zero....
15 Pages (3750 words) Assignment

Statistical Process Control

rom the analysis of normal probability test, it can be observed that the resistance of data set 1, the resistance of data set 2, the resistance of data set 3, the resistance of data set 4, the resistance of data set 5, the resistance of data set 6, the resistance of data set 7, the resistance of data set 8, the resistance of data set 9, the resistance of data set 10, the resistance of data set 11, the resistance of data set 12, the resistance of data set 13, the resistance of data set 14, and resistance of data set 15 are showing to be normally distributed and hence obey the assumption of normality....
6 Pages (1500 words) Assignment

Scandinavian Airlines and British Airways

… Table 3.... : Gearing Ratios: British Airways19Table 4.... : Efficiency Ratios: Scandinavian Airlines20Table 4.... : Efficiency Ratios: British Airways20Table 5.... Horizontal Analysis: Scandinavian Airlines20Table 5.... Horizontal Analysis: British Table 3.... : Gearing Ratios: British Airways19Table 4....
10 Pages (2500 words) Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us