pedi/ob exam 3 Group 2

chemotherapy management of care

-assess skin frequently

-encourage fluids & fiber

-assist with ambulation

-pain management

-monitor hydration status & weight

-bone marrow suppression (infection/bleeding precautions)

-alopecia

-mucositis and dry mouth

-anorexia, N/V

WHAT SHOULD YOU TELL YOUR CHEMO PATIENT ABOUT FOOD

don't eat your favorite foods

leukemia assessment

-low-grade fever

-pallor

-increased bruising

-petechiae

-enlarged liver, lymph nodes, joints

-headache

-N/V

-unsteady gait

-pain

KEY LEUKEMIA FINDINGS

-lymphomegaly

-anorexia

-petechiae

-unstable gait

bone and soft tissue cancer findings

-nonspecific bone pain

-often mistaken for injury or growing pains

-weakness, swelling, decreased movement, limping

-anemia, fever, unexpected weight loss

-inability to lift a heavy object

epstein barr virus/mono findings

-fever

-lethargy

-sore throat

-swollen lymph glands

-loss of appetite

-headache

-elevated WBC

-atypical lymphocytes

-splenomegaly

-hepatic involvement

WHAT DO YOU WANT TO EDUCATE PARENTS ABOUT WITH EPSTEIN BARR/MONO

no contact sports, can lead to ruptured spleen

conjuncitivits

-red eye, drainage, crusting

5th disease

-slapped cheek

measles

-koplik spots (white spots in mouth)

mumps

swelling and ear ache with chewing

pertussis

whooping cough

rubella

rash on face that spreads to body

varicella

-chicken pox

-itchy