Don Mariano Marcos Memorial State University

South La Union Campus

COLLEGE OF COMMUNITY HEALTH AND ALLIED MEDICAL SCIENCES
Agoo, La Union
Tel. 072.682.0663/ichams.dmmmsu-sluc.com
Embracing World Class Standards NURSING DEPARTMENT Care to learn, Learn to care

Name: JOSELYN M. LACHICA Program and Course: BSN IV

CASE 2 – PEDIATRIC CANCER CARE

TASK 1: Identify the modifiable and non-modifiable risk factors of breast cancer in this case
scenario.
Non-Modifiable Factors:
 Male Gender
 Age
 Race
 Family History of Anemia

TASK 2: On a separate sheet, make an algorithm or flow chart of activities you are going to do
in transfusing the blood. Note things to watch out for.

BLOOD TRANSFUSION

DOCTOR’S ORDER

PATIENT’S WRITTEN CONSENT

ADMINISTRATION

 Verify the patient with a partner and check for the blood label
(component, type, number, expiration date).
 Document date, start time and blood volume.
 Instruct the patient to inform any signs and symptoms
encountered during the blood transfusion.

MONITORING OF THE PATIENT

 Vital signs should be taken.

 Monitor patient 15min at the start of transfusion.
 Observe for symptoms of a transfusion reaction.
 Regular visual observation should be monitored throughout the
blood transfusion.

DOCUMENTATION
TASK 3: Trace the specific pathophysiology of the disease entity from the risk factors until the Nursing Diagnoses.

Non-Modifiable Factors:
 Male gender
 Age Abnormal Hematopoeisis
 Race Modifiable Factors:
 Family History of Anemia
Increased Bleeding Tendencies
Myeblast Myeloblast
Decreased Platelet
abnormality
Count

Decrease RBC count, platelet

Cell Mutation Frozen cell maturation count, and immature Signs/Symptoms:
leukocytes (blood dyscrasia)

1. Petechiae

Decreased Proliferation Control Arrest of Cellular

Differentiation High numbers of immature or
abnormal leukocytes are Increased lymphocytes
Decreased segmenters
unable to fight and destroy
Disrupted Genes microorganisms

Decreased Oxygen Concentration/

Distribution in the blood

Immature Clone of Cells Severe bacterial and viral infections Increased

WBC

Decreased hematocrit

Rapid Proliferation of Abnormal Cells Sepsis

Signs/Symptoms:
 Fever

Multi-organ dysfunction
 Abnormal, immature
leukocytes circulate the Signs/Symptoms:
bloodstream  Body malaise
 Palmar pallor
 Weak, thread pulses
 Pale, dry mucous membranes
 Increased heart rate
High numbers of WBC  Nasal flaring
infiltrate the organs and other  Chest indrawing
parts of the body  Kussmaul’s respirations
 Capillary refill more than 3 seconds
 Use of accessory muscles when

Enlargement of the blood

forming organs (liver, spleen)
CNS
Kidneys
Lungs
Bones LEUKEMIA