Cancer Case Study

 

COLEGIO DE SAN JUAN DE LETRAN – CALAMBA School of Nursing Brgy. Bucl! Cl"# Ci$y

Cs% S$u&y On

COLON CANCER  Su#"i$$%& #y' PANGANIBAN, DANICA D.

Su#"i$$%& $o' Ms. Crol Alcn$r RN! MAN

I. INTRODUCTION BACKGROUND OF THE STUDY:

 

Colon cnc%r is cnc%r of $h% lrg% in$%s$in% (colon)! $h% lo*%r +r$ of your &ig%s$i,% sys$%". R%c$l cnc%r is cnc%r of $h% ls$ s%,%rl inch%s of $h% colon. Tog%$h%r! $h%y-r% of$%n r%f%rr%& $o s color%c$l cnc%rs. Mos$ cs%s of colon cnc%r #%gin s s"ll! noncnc%rous (#%nign) clu"+s of c%lls cll%& &%no"$ous +oly+s. O,%r $i"% so"% of $h%s% +oly+s #%co"% colon cnc%rs. oly+s "y  #% s"ll n& +ro&uc% f%*! f%*! if ny ny!! sy"+$o"s. /or $his r%son! &oc$ors r%co""%n& r%co""%n& r%gulr scr%%ning $%s$s $o h%l+ +r%,%n$ colon cnc%r   #y i&%n$ifying i&%n$ifying +oly+s #% #%for% for% $h%y #% #%co"% co"% colon ccnc%r nc%r.. SIGNS AND SYMPTOMS:      

A chng% in your #o*%l h#i$s! inclu&ing &irrh% or cons$i+$ion or  chng% in $h% consis$%ncy of your s$ool R%c$l #l%%&ing or #loo& in your s$ool %rsis$%n$ #&o"inl &isco"for$! such s cr"+s! gs or +in A f%%ling $h$ your #o*%l &o%sn-$ %"+$y co"+l%$%ly 0%1n%ss or f$igu% Un%2+lin%& *%igh$ loss

CAUSES: 

Precancerou !ro"#$ %n #$e co&on  Colon cnc%r "os$ of$%n #%gins s clu"+s of +r%cnc%rous c%lls (+oly+s) on $h% insi&% lining of $h% colon. oly+s cn ++%r "ushroo"3sh+%&! "ushroo"3sh+%&! or $h%y cn #% fl$ or r%c%ss%& in$o $h% *ll of $h% colon. R%"o,ing +oly+s #%for% $h%y #%co"% cnc%rous cn +r%,%n$ colon cnc%r.



In$er%#e' !ene (u#a#%on #$a# %ncreae #$e r%) o* co&on cancer   Inh%ri$%& g%n% "u$$ions $h$ incr%s% $h% ris1 of colon cnc%r cn #% +ss%& $hrough f"ili%s! #u$ $h%s% inh%ri$%& g%n%s r% lin1%& $o only  s"ll +%rc%n$g% of colon cnc%rs. Inh%ri$%& g%n% "u$$ions &on-$ "1% cnc%r in%,i$#l%! #u$ $h%y cn incr%s% n in&i,i&ul-s ris1 of cnc%r significn$ly. RISK FACTORS: 

Ol&%r g%

 

         

A +%rsonl his$ory of color%c$l cnc%r or +oly+s Infl""$ory Infl""$o ry in$%s$inl con&i$ions /"ily his$ory of colon cnc%r n& colon +oly+s Lo*3fi#%r! high3f$ &i%$ A s%&%n$ry lif%s$yl% Di#%$%s O#%si$y S"o1ing Alcohol R&i$ion $h%r+y for cnc%r 

DIAGNOSTIC TEST:  

Colonosco+y CT Scn

STAGES OF COLON CANCER: 

S#a!e I. 4  4our our cnc%r hs gro*n $hrough $h% su+%rficil lining ("ucos) of $h% colon or r%c$u" #u$ hsn-$ s+r%& #%yon& $h% colon *ll or r%c$u".  S#a!e II. 4our cnc%r hs gro*n in$o or $hrough $h% *ll of $h% colon or r%c$u" #u$ hsn-$ s+r%& $o n%r#y ly"+h no&%s.  S#a!e III. 4our cnc%r hs in,&%& n%r#y ly"+h no&%s #u$ isn-$ ff%c$ing o$h%r +r$s of your #o&y y%$.  S#a!e I+. 4our cnc%r hs s+r%& $o &is$n$ si$%s! such s o$h%r orgns 5 for ins$nc% $o your li,%r or lung.

TREATMENT: 

Ch%"o$h%r+y

 

 

R&i$ion Th%r+y Drug Th%r+y

RATIONALE FOR CHOOSING THE CASE: •

I chos% $his s$u&y $o +ro"o$% *r%n%ss $o $h% +%o+l% *ho h& $his 1in& of &is%s% #y gi,ing $h%" infor"$ion #ou$ $h% c$ions $o #% &on% n& $hos% con$ri#u$ing fc$ors $h$ "&% $h% $r%$"%n$ "or% s%riously. I lso *n$ $o &%$%r"in% "ng%"%n$ $h$ cn #% &on% $o h%l+ $h%" $o r%li%,% so"% of $h% signs n& sy"+$o"s of $h% &is%s% s *%ll s $o $%ch $h%" $o +r%,%n$ fur$h%r co"+lic$io co"+lic$ions. ns.

SIGNIFICANCE OF THE STUDY: •

Th% i"+or$nc% of $his s$u&y is $o h,% infor"$ion #ou$ $h% +ro+%r "ng%"%n$ n& cr% for $hos% cli%n$s *ho h,% $his 1in& of illn%ss. 0% cn lso %&uc$% +%o+l% on ho* $h%y cn +r%,%n$ n& r%&uc% $h% co"+lic$ion of $h% &is%s% %,%n if $h%y lr%&y h,% $h% &is%s% or no$. I$ cn lso +ro"o$% *r%n%ss n& consciousn%ss.

SCOPE AND LIMITA LI MITATION TION OF THE STUDY: •

I *ill #% focus%& on $h% nursing s+%c$ of cr%! $o gi,%  #sic 1no*l%&g% #ou$ Colon Cnc%r.

II. CLINICAL SUMMARY: A. PERSONAL DATA

 

Na(e: $i%n$ C A!e: 67 Se: Ml% A''re: 889 ulo! C#uyo! Lgun B%r#$ Da#e: Ma- /, 0120 Re&%!%on: Ro"n C$holic Da#e o* A'(%%on: D%c%"#%r :! 798;! 88';9 " D%a!no%:  Cloric Mss T%l$hy ++%rnc%

Th% cli%n$ ++%rs *%1

cli%n$?s $$i$u&%

Ins+%c$ion

Th% +$i%n$ *s coo+%r$i,%

cli%n$?s ff%c$< "oo&@ ++ro+ri$%n%ss of cli%n$?s r%s+ons%s un$i$y of s+%%ch! uli$y n& orgni$ion

Ins+%c$ion

Coo+%r$i,%! #l% $o follo* ins$ruc$ions A++ro+ri$% $o $h% si$u$ion

Ins+%c$ion

r%l%,nc% n& orgni$ orgni$ion ion of $hough$s

Ins+%c$ion

 #o&y #uil$! #uil$! h%igh$ n& n& *%igh$ in r%l$ion $o cli%n$?s g% os$ os$ur ur%% *hil *hil%% si$$ si$$in ing g

"o,%"%n$ .#o&y n n& #r%$h o o& &or signs of &is$r%ss in +os$ur% or fcil %2+r%ssion

I.

SKIN AREA

TECHNI3UE

s1in color

Ins+%c$ion

. unifor"i$y of s1in color 

Ins+%c$ion

Th% +$i%n$ loo1s *%1

ABNORMAL Du% $o his +r%s%n$ con&i$ion ABNORMAL Du% $o his +r%s%n$ con&i$ion NORMAL

Th% +$i%n$ ns*%rs u%s$ions coh%r%n$ly *i$hou$ ssis$nc%

 NORMAL

Un&%rs$n&#l%! " "o o&%r$% +c%! ccll%r $on%! %2hi#i$s $hough$ ssoci$ion

Un&%rs$n&#l%! "o&%r$% n& cl%r

 NORMAL

Logicl s%u%nc%! "1%s s%ns%! hs s%ns% of r%li$y

M1%s s%ns% n& hs s%ns% of r%li$y

 NORMAL

NORMS

FINDINGS

ANALYSIS AND INTERPRETATION NORMAL

ri%s fro" ligh$ $o &%%+ #ro*n@ fro" y%llo* o,%r$on%s $o oli,% G%n%rlly un unifor" %%2 2c%+$ in in r%s %2+os%& $o $h% sun@ r%s ligh$%r +ig"%n$$ion (+l"s! li+s!

Unifor" s1in color Unifor" in s1in color

NORMAL

 

ss%ss %&%" s1in l%sions

Ins+%c$ion Ins+%c$ion

s1in "ois$ur%

Ins+%c$ion

II.

HAIR   AREA

nil#%&s) in &r1 s1inn%& No %&%" /r%c1l%s! so"% #ir$h"r1s! no #rsions or o$h%r l%sions Mois$ur% in s1in fol&s n& 2ill%

TECHNI3UE

No %&%"  No l%sions

NORMAL NORMAL

S1in is &ry

ABNORMAL Du% $o &%hy&r$ion.

NORMS

FINDINGS

ANALYSIS AND INTERPRETATION  NORMAL

%,%nn%ss of $h% gro*$h! $hic1n%ss or $hinn%ss of hir 

Ins+%c$ion

E,%nly &is$ri#u$%& n& co,%rs $h% *hol% scl+

E,%nly &is$ri#u$%& n& co,%rs $h% *hol% scl+

$%2$ur% n& oilin%ss o,%r $h% scl+  +r%s%nc% of inf%c$ion n& inf%s$$ion "oun$ of #o&y hir

Ins+%c$ion

Sil1y! r%sili%n$ hir

Sil1y r%sili%n$ hir

NORMAL

Ins+%c$ion

No inf%c$ion n& inf%s$$ion

No Inf%c$ion n& Inf%s$$ion

NORMAL

Ins+%c$ion

ri#l%

ri#l%. No #nor"l hirin%ss

 NORMAL

III.

NAILS AREA

TECHNI3UE

fing%rnil +l$% sh+%

Ins+%c$ion

fing%rnil n& $o%nil $%2$ur% fing%rnil n& $o%nil  #%& color 

Ins+%c$ion Ins+%c$ion

NORMS

Con,%2! cur,$ur%@ ngl% of nil  +l$% S"oo$h $%2$ur% >ighly ,sculr n& +in1 in ligh$ s1inn%& cli%n$s@ &r1 s1inn%& cli%n$s "y h,% #ro*n or #lc1  +ig"%n$$ion  +ig"%n$ $ion in longi$u& longi$u&inl inl s$r%1s

FINDINGS

Con,%2 S"oo$h $%2$ur% l% in color

ANALYIS AND INTERPRETATION NORMAL

NORMAL ABNORMAL Du% $o n%"i

 

$issu%s surroun&ing nils Ins+%c$ion  #lnch $%s$ of of c+illry Ins+%c$ion! r%fill  +l+$ion

I+.

HEAD AREA

TECHNI3UE

si%! sh+% n& sy""%$ry of $h% s1ull

Ins+%c$ion

 +r%s%nc% of of no&ul%s! "ss%s n& &%+r%ssions  +r%s%nc% of of %&%" n& hollo*n%ss in $h% %y%

Ins+%c$ion n&  +l+$ion Ins+%c$ion n&  +l+$ion

+.

EYES AREA

color! $%2$ur% n&  +r%s%nc% of of l%sions in

TECHNI3UE

Ins+%c$ion

In$c$ %+i&%r"is ro"+$ly r%$urn of +in1 or usul color (g%n%rlly l%ss $hn : s%con&s)

In$c$ %+i&%r"is L%ss $hn : s%con&s

NORMS

FINDINGS

Roun& (nor"oc%+hlic *i$h sy""%$ricl sy""%$ric l fron$l! +ri%$l! n& occi+i$l +ro"in%nc%s) s"oo$h s1ull con$our  S"oo$h unifor" consis$%nc%@ #s%nc% of no&ul%s! or "ss%s  No %&%" n& n& hollo*n hollo*n%ss %ss

Th% cli%n$?s h%& is roun&! nor"oc%+hlic *i$h sy""%$ricl sy""%$ric l fron$l! +ri%$l! n& occi+i$l +ro"in%nc%s S"oo$h! #s%nc% of no&ul%s or "ss%s No %&%" %&%" or hollo*n%s hollo*n%sss

NORMS

FINDINGS

in1ish in color * *ii$h +r%s%nc% of   l% in color s"ll c+illri%s@ "ois$! no

Ins+%c$ion

iris' sh+% n& color

Ins+%c$ion

corn%' clri$y n& $%2$ur%

Ins+%c$ion

0hi$% iin n color@ ccll%r! n no o y%llo*ish &iscolor$ion! so"% c+illri%s "y #% ,isi#l% An$%rior ch"#%r is $rns+r%n$@ no no$%& ,isi#l% "$%rils! color &%+%n&s on $h% +%rson?s rc% No ir irr%gulri$i%s on on $h $h% ssu urfc%! loo1s s"oo$h! cl%r or

ANALYSIS AND INTERPRETATION  NORMAL

 NORMAL NORMAL

ANALYSIS AND INTERPRETATION ABNORMAL Du% $o lo*

h%"oglo#in

for%ign #o&i%s

$h% +l+%#rl conunc$i, scl%r' cco olor n n& clri$y

NORMAL ABNORMAL Du% $o lo* h%"oglo#in or n%"i

4%llo*ish in color

An$%rior ch"#%r is $rns+r%n$@ $rns+r%n $@ no no$%& ,isi#l% "$%rils! #lc1 in color   No irr%gulri$i%s irr%gulri$i%s on $h% surfc%@ cl%r 

ABNORMAL Du% $o +s$ "%&icl his$ory of >EA A  NORMAL

 NORMAL

 

 +u+ils' color! color! sh+% n& sy""%$ry of si%

Ins+%c$ion

ligh$ r%c$ion n& cco""o&$ion ,isul cui$y' n%r ,ision lcri"l gln&'  +l+#ili$y n& n& $%n&%rn%sss of lcri"l $%n&%rn%s gln& %2$roculr "uscl%s %y% lign"%n$

Ins+%c$ion

 ,isul fi%l&s' +%ri+h%r +%ri+h%rll ,isul fi%l&s

+I.

EARS AREA

 NORMAL

Cons$ric$s #ris1ly

NORMAL

Cn &%$%c$ ligh$ n& &r1 No %&%" or $%n&%rn%ss o,%r lcri"l gln&

Cn &%$%c$ ligh$ n& &r1  No %&%" %&%" or $%n&%rn%ss $%n&%rn%ss

NORMAL NORMAL

Ins+%c$ion

Bo$h %y%s coor&in$%&! "o,%& in unison *i$h +rll%l lign"%n$

Bo$h %y%s r% coor&in$%& in "o,%"%n$@ +rll%l lign"%n$

 NORMAL

Ins+%c$ion

0 h%n cn loo1s%% ingo#%c$s s$righ$inh h$h% %& $h% cli%n$  +%ri+h%ry

$i%n$ s%%s o#%c$s in  +%ri+h%ry

 NORMAL

TECHNI3UE

Ins+%c$ion

$%2$ur%! %ls$ici$y n& r%s of $%n&%rn%ss h%ring cui$y $%s$' cli%n$ r%s+ons% $o nor"l ,oic% $on%s

Ins+%c$ion n&  +l+$ion Ins+%c$ions %ul s$r%ng$h on #o$h si&%s

E,%n n& fir" in "uscl% $on% >s %ul s$r%ng$hs

NORMAL NORMAL

TECHNI3UE

Ins+%c$ion n& n&  +l+$ion Ins+%c$ion n&  +l+$ion

NORMS

 No s*%lling@ s*%lling@ no *r"$h! no r%&n%ss! no +in! no cr%+i$us  No s*%lling! s*%lling! no *r"$h! no r%&n%ss! no +in

I+. GORDON6 00 FUNCTIONAL HEALTH PATTERN OF ASSESSMENT

FINDINGS

 No s*%lling! s*%lling! r%&n%ss! +in or cr%+i$us  No s*%lling! s*%lling! *r"$h or r%&n%ss

ANALYSIS AND INTERPRETATION  NORMAL

 NORMAL

 

GORDON6S FUNCTIONAL HEALTH PATTERNS

PRIOR TO HOSPITALI7ATION

DURING HOSPITALI7ATION

>%l$h %rc%+$ion n& >%l$h Mng%"%n$

Th% cli%n$ $hin1s $h$ h%l$h is  s$$% of #%ing *%ll.

Th% cli%n$ $hin1s $h$ i$ is i"+or$n$ $o consul$ $o $h% &oc$or *h%n h% &o%sn?$ f%%l *%ll.

 Nu$ri$ionl3 M%$#olic M%$#olic

>% % %$s $s ; $i" $i"%s %s  & &y y n n& && &ri rin1 n1ss F gls glss% s%ss o off * *$ $%r %r  & &y y..

>% c cn? n?$$ %%$ $ %, %,%r %ry$ y$hi hing ng h% * *n$ n$ss # #%c %cu us% s% of so"% r%s$ric$ions on foo&s.

Eli"in$ion

Th% cli%n$ si& h% &%f%c$%s 837 $i"%s &ily n& urin$%s ;3: $i"%s  &y

 Th% cli%n$ cn &%f%c$% n& urin$%.

Ac$i,i$y n& E2%rcis%

Th% cli%n$ si& h% is no$ &oing ny %2%rcis%.

>% is un#l% $o +%rfor" ny %2%rcis% $ ll.

Cogni$i,%3 %rc%+$ul

Th% cli%n$ si& h% is  +osi$i,% $hin1%r.

Th% cli%n$ is s$ill +osi$i,% $hin1%r. $hin1%r.

Sl%%+ n& R%s$

Th% cli%n$ si& $h% h% l*ys h,% F hours of sl%%+ %,%ry &y

Th% cli%n$ si& $h$ h% cn?$ sl%%+ *%ll

Rol% R%l$ionshi+

Th% cli%n$ is  r%s+onsi#l% f$h%r.

>% is #%ing &%+%n&%n$ $o %,%ryon% #%cus% of his con&i$ion.

Co+ing S$r%ss

Th% cli%n$ si& h% is co+ing $o s$r%ss #y "%ns of r%s$.

During hos+i$li$ion $h% cli%n$ co+%s $o s$r%ss  #y "%ns of sl%%+ing.

lu% B%li%f

Th% cli%n$ si& sh% is  Ro"n C$holic. Go& s%r,%s s  gui&% $o his f"ily.

+. ACTI+ITIES OF DAILY LI+ING

Th% cli%n$ $hin1s $h% s"%.

 

ASPECT

0.

NUTRI TI TI ON ON

PRIOR TO HOSPITALI7ATION

LO0 AETITE

DURING HO HOSPITALI7ATION

LO0 AETITE

ANALYSIS AN AND INTERPRETATION

Du% $o hos+i$li$ion $h% +$i%n$ hs lo* ++%$i$% #%cus% sh% &o%sn?$ f%%l *%ll.

. EL ELIM IMIN INA ATI TION ON

Urin$%s ;3: $i"%s  &y n& &%f%c$%s 837 $i"%s  &y.

Urin$%s 73; $i"%s  &y n& &%f%c$%s onc%  &y

Du% $o hos+i$li$ion $h% +$i%n$ cn %li"in$% +ro+%rly.

8.

E4ERCIS E

Th% +$i%n$ cnno$ %2 %2%rcis%

Th% +$i%n$ cnno$ %%2 2%rcis%

Du% $o $o hos+i$li$ion $h% + +$i%n$ cnno$ &o his &ily rou$in%  #%cus% of his his con&i$ion. con&i$ion.

2.

HYGIENE

ro+%r hygi%n%

Th% +$i%n$ cnno$ go $o CR $o $1%  #$h.

Du% $o hos+i$li$ion $h% +$i%n$ cnno$ go $o CR $o $1%  #$h n& n%%& r%l$i,% $o ssis$ hi" in &oing his +%rsonl hygi%n%

F hours of sl%%+ n& $1%  n+s &uring $h% f$%rnoon

>% cn?$ sl%%+ *%ll #%cus% h% f%%ls unco"for$#l%.

Du% $o hos+i$li$ion $h% +$i%n$ h,% l$%r%& sl%%+ing +$$%rn  #%cus% h% &o%sn?$ &o%sn?$ f%%l f%%l co"for$#l%.

9. SLEE SLEEP P AND AND REST REST

+I. ANATOMY AND AND PHY PHYSIOLOGY SIOLOGY

 

Th% lrg% in$%s$in% is  hollo* $u#% $h$ "1%s u+ $h% ls$  f%%$ of $h% &ig%s$i,% $rc$. I$ is of$%n r%f%rr%& $o s $h% lrg% #o*%l or colon (*hich is $%chniclly us$ on% +r$ of $h% lrg% in$%s$in%). Th% lrg% in$%s$in% consis$s of $h% c%cu" ( +ouch3li1% s$ruc$ur% $  #%ginning of $h% lrg% in$%s$in%)! colon! r%c$u" n& nus. Th% colon n& r%c$u" r% n%2$ $o o$h%r orgns! inclu&ing $h% s+l%%n! li,%r!  +ncr%s! n& r%+ro&uc r%+ro&uc$i,% $i,% n& urinry orgns. Ech of $h%s% orgns cn #% ff%c$% ff%c$%& & if color%c$l cnc%r s+r%&s #%yon& $h% lrg% in$%s$in%.

STRUCTURE:

 

Th% colon #%gins $ $h% c%cu"! *h%r% i$ oins $h% %n& of $h% s"ll in$%s$in% (il%u"). Th% colon chng%s $o r%c$l $issu% in i$s ls$  inch%s. B%cus% $h%r% is no$  cl%r #or&%r #%$*%%n $h% colon n& r%c$u"! colon n& r%c$l cnc%rs r% grou+%& $og%$h%r s color%c$l cnc%r.   Th% colon is &i,i&%& in$o : +r$s'  



sc%n&ing colon – #%gins $ $h% c%cu"! *h%r% i$ oins $h% %n& of $h% s"ll in$%s$in%! n& $r,%ls u+*r& long $h% righ$ si&% of $h% #o&y $o $h% $rns,%rs% colon $rns,%rs% colon – conn%c$s $h% sc%n&ing colon $o $h% &%sc%n&ing colon n& li%s cross $h% u++%r #&o"%n &%sc%n&ing colon – conn%c$s $h% $rns,%rs% colon n& $h% sig"oi& colon n& li%s long $h% l%f$ si&% of $h% #o&y



sig"oi& colon – conn%c$s $h% &%sc%n&ing colon n& $h% r%c$u"

FUNCTION:

Th% "in func$ions of $h% colon n& r%c$u" r% $o #sor# *$%r n& nu$ri%n$s fro" *h$ *% %$ n& $o "o,% foo& *s$% ou$ of our   #o&y.  #o&y.  

Th% colon r%c%i,%s +r$illy &ig%s$%& foo&! in  liui& for"! fro" $h% s"ll in$%s$in%. Bc$%ri (#o*%l flor) in $h% colon #r%1 &o*n so"% "$%rils in$o s"ll%r +r$s.



Th% %+i$h%liu" #sor#s *$%r n& nu$ri%n$s. I$ for"s $h% r%"ining *s$% in$o s%"i3soli& "$%ril (f%c%s or s$ool).



Th% %+i$h%liu" lso +ro&uc%s "ucus "ucus $ $h% %n& of $h% &ig%s$i,% $rc$! *hich "1%s i$ %si%r for s$ool $o +ss $hrough $h% colon n& r%c$u".



S%c$ions of $h% colon $igh$%n n& r%l2 (+%ris$lsis) $o "o,% $h% s$ool $o $h% r%c$u".

 



Th% r%c$u" is  hol&ing r% for $h% s$ool. 0h%n i$ is full! i$ signls $h% #rin $o "o,% $h% #o*%ls n& +ush $h% s$ool fro" $h% r%ci+i$$ing /c$ors'  #o&y $hrough $hrough $h% nus nus.. HEn,iron"%n$ Hirus%s +II. PATHOPHYSIOLOGY PATHOPHYSIOLOGY HDi%$ HTo#cco Us% r%&is+osing r%&is+osin g /c$ors' C%llulr DNA HLif%s$yl% HG%n%$ics "u$$ion HU %2+osur% HO$h%r crcinog%ns Mlignn$ C%llulr  rolif%r$ion

I""un% sys$%" filur% $o &%s$roy cnc%r c%lls

Mlignn$ C%llulr  Sur,i,l

Mlignn$ C%llulr D%+ri,$ion of Nor"l C%lls of   Nu$ri$ion n& o$h%r su#s$ su#s$nc%s nc%s for sus$% sus$%nnc% nnc%

Mlignn$ C%llulr Co"+r%ssion of Nor"l C%lls D% D%$h $h C3hng%s in  Nor"l #l&&%r orC%ll #o*%l h#i$s A3sor% $h$ &o%sn?$ h%l U3nusul #l%%&ing or &ischrg%s T3hic1%ning or lu"+s I3n&ig%s$ion or&iffucl$y s*llo*ing O3#,ious chng%s in *r$s! "ol%s! or $h% s1in N3gging cough or hors%n%ss of ,oic% U3n%2+lin%& n%"i

S3u&&%n loss of *%igh$  

+III. LABORATOR LABORATORY Y RESULT HEMATOLOGY RESULTS

NORMAL +ALUE

ANALYSIS

>GB

.

8;386

ABNORMAL D%cr%s%& in h%"oglo#in cn cus%

>CT

7

:93:

RBC

;.7

:3

n%"i ABNORMAL D%cr%s%& in h%"oglo#in cn cus% n%"i

ABNORMAL

D%cr%s%& in h%"oglo#in cn cus% n%"i 0BC

88!99

999389999

SEGMENTERS

F;K

;9369

ABNORMAL Th%r% is n incr%s% in 0BC $his "%ns $h$ $h% +$i%n$ hs inf%c$ion. Incr%s% in *#c "y l%& $o l%u1ocy$osis! $his cn r%sul$ fro"  #c$%ril inf%c$ion.. inf%c$ion.. ABNORMAL Incr%s%& in s%g"%n$%rs "%ns $h$ $h%r% is inf%c$ion.

 

L4M>OC4TES

8:K

793:9

ABNORMAL Incr%s%& in ly"+hocy$%s "%ns $h$ $h%r% is inf%c$ion.

I4. DRUG STUDY NAME OF DRUG

CLA LASS SSIF IFIC ICA ATI TION ON

A++%$i$% lus 8 c+ BID

A++%$i A++ %$i$% $% Enh Enhnc nc%rs %rs

ME MECH CHAN ANIS ISM M OF ACTION

S$i"u S$i"ul$ l$%s %s ++%$ ++%$i$% i$%  %nhnc%s *%igh$ gin

SIDE E EF FFECTS

   

>%rcl%n% /or$% 8 $# OD

A++%$i A++ %$i$% $% Enh Enhnc nc%rs %rs

Us% Us%& & ffor or $1ing $1ing cr% cr% o of  f  *%igh$ loss! I$ lso "y #% us%& for $r%$ing $u#%rculosis n& &&i$ionl  +%rsis$%n$ &is%s%s! &is%s%s! r%cu+%r$ing fro" s%,%r% surg%ry or inf%c$ion n& &%f%c$i,% nu$ri$ion in %l&%rly  +$i%n$s.

    

>%&ch%  Nus% Cons$i+$ion U+s%$ s$o"ch

 Nus% n& ,o"i$ing Dirrh% Aci&i$y >%&ch% GI &isor&%rs

CONTRAINDICATION

NURSING RESPONSIBILITY





>y+%rs%nsi$i,i$y

 



  

>y+%rs%nsi$i,i$y r%gnncy Lc$$ion

Shoul& #% $1%n *i$h foo&. Moni$or ,i$l signs



Moni$or In$1% n& Ou$+u$



Moni$or ,i$l signs Moni$or I  O



 

4. FDAR 

FOCUS

DATA

R%c%i,%& +$i%n$ *1%! lying on #%& *i$h ongoing DNM 8L  F99 cc L%,%l. IMBALANCED NUTRITION

 

Bo&y Mlis% 0%igh$ Loss



oor "uscl% $on%



S $1%n s follo*s'

ACTION 

I flui&s "in$in%& n& r%gul$%&



Encourg%& $o consu"% high3 cloric &i%$ *i$h &%u$% flui& in$1%



ro,i&%& h%l$h $%ching r%gr&ing h%l$hy nu$ri$ious foo&



B3 899