Rest and Activity

Diagnostic Tests: Interventions:

1. Adequate
• rest periods
Bone marrow Interventions:
1. Identify platelet counts. 1. Inspect buccal region/throat
2. PT w/ walker
examination for swelling and lesions daily.
2. Monitor VS Q4h and as needed.
3. Exercises for strengthening 2. Culture any oral lesions.
(Provides information 3. Avoid use of rectal
4. ROM thermometer/digital exam. 3. Assist with mouth care and
5. Callabout cells within
for assistance to getthe
up 4. Test all secretions and oral rinses.
marrow, the type of 4. Encourage soft bristle
erythropoieses, and the excretions.
toothbrush.
maturity of
5. Administer meds as ordered to
Goal # 1:
Labs: Pt will be free
CBC w/diff of signs and Goal #2:
 Platelets. Labs / symptoms of Pt is free
bleeding.
Electrolytes Diagnosti from oral
Serum iron NSG Dx 2: inflammatio
cs Impaired oral n, oral
Total protein
Albumin NSG Dx 1: mucous bleeding,
Prealbumin Ineffective membranes and
protection R/T secondary to
reduced anemia and
Diet / Supplements: platelet count
Foods with low potential to reduced
cause nausea and vomiting (dry and risk for platelets. Goal # 3:
toast, crackers, ginger ale, cola, Pt states
popsicles, gelatin, baked or return of
boiled potatoes, and fresh or near-normal
canned fruit.) Serve meat in the activity
morning. Small frequent levels, and
nutritious meals.
achieves
tolerance of

Client’s Data: Interventions:

Dietary NSG Dx 3: 1. Assess
Considerati Fatigue specific

Medication
ons:
Consistent
Acute related to
anemia. 2.
cause of
fatigue.
Monitor
s: weighing is Hgb, Hct,
important to and RBC
Arsenic trioxide
levels.
(Trisenox) and ensure
all-trans
retinoic acid
accuracy in Myelocytic 3. Assess
current
activity
(ATRA) are level.
anti-cancer 4. Stress
drugs that can importance
be used alone
or in
combination
Leukemia NSG Dx 5.
of rest
periods.
Instruct
with 4:
chemotherapy Risk for
for remission Goal #
Medical infection
induction of a Risk 4:
certain subtype
Treatmen R/T
Pt has
of AML called t for Factors altered
reduced
promyelocytic Disease of WBC
risk of
leukemia. infection
These drugs
as

Common  Increasing age

Interventions:
Treatments for 1. Monitor WBC
Disease Process:  Sex (M or F) w/differential.
2. Assess for local or
Chemotherapy & systemic signs of
 Previous cancer infection such as
Radiation
treatment fever, chills, malaise,
Single agent or combo swelling, and pain.
chemo is the treatment of 3. If pt is hospitalized
choice for most types of  Exposure to put in private room
leukemia, with the goal of radiation and have pt on
eradicating leukemic cells reverse isolation.
4. Instruct pt to avoid
 Dangerous contact with persons
chemical exposure have a cold or
infections.