Hematology Case Study
Henry Jackson Case Study
Using the information from the following case study, answer the questions in an APA formatted paper. APA includes in text citations for any information that is not common knowledge. Included should be a cover page, headings, full English paragraphs, and a correctly formatted APA reference page. The information should be summarized from the resources and not directly quoted. Font, font size, and margin information can be found in the nursing handbook.
Henry Jackson is a 46-year-old man diagnosed with non-Hodgkin lymphoma (NHL) 4 months ago. He finished receiving his third of six chemotherapy courses 5 days ago. Yesterday morning, he was seen at the oncology office for malaise, muscle weakness, and palpitations. He had splenomegaly on examination. A computed tomography (CT) scan of the abdomen showed metastatic disease in the liver and spleen. He is admitted to the hospital with progressive disease. He is accompanied by his husband and their 2 sons age 13 and 15.
Lab work is as follows:
Na 136 mEq/L
K 6.1 mEq/L
Cl 97 mEq/L
CO2 28 mEq/L
Glucose 98 mg/dL
Blood urea nitrogen (BUN) 54 mg/dL
Creatinine 2.7 mg/dL
Ca 6.3 units/L
Total protein 5.4 g/dL
Albumin ) 2.8 g/dL
Phosphorus 4.8 mg/dL
Uric acid 20.7 mg/dL
Total bilirubin 0.8 mg/dL
Alkaline phosphatase 172 units/L
Aspartate transaminase (AST) 254 units/L
Alanine transaminase (ALT) 74 units/L
Lactate dehydrogenase (LDH) 214 IU/L
1. Interpret Mr. Jackson’s admitting BMP panel and fully discuss. Your interpretation should convey a good understanding of the material.
2. Based on these values, which common oncologic emergency is Mr. Jackson experiencing?
3. Describe the pathophysiology of this condition.
4. What assessment other findings would you expect in Mr. Jackson?
5. Your institution uses electronic charting. Based on the assessment described, document your findings by providing a narrative note organized into the following areas: ? Neurologic ? Respiratory ? Cardiovascular ? Gastrointestinal ? Psychosocial
The Complete Blood Count (CBC) is now available:
White blood cells (WBCs) 1500/mm3
Neutrophils 66%
Lymphocytes 16%
Monocytes 15%
Eosinophils 5%
Hemoglobin (Hgb) 8.3 g/dL
Hematocrit (Hct) 23%
Platelets 21,000/mm3 (21 x 109 /L)
6. Based on his lab values, identify and discuss at least three additional problems for which Mr. Jackson is at risk. Provide sourced and referenced rationale
7. Discuss your nursing priorities? Provide sourced and referenced rationale
8. Discuss what would indicate that Mr. Jackson is improving. Provide sourced and referenced rationale to support the discussion.
9. Discuss and provide sourced and referenced rationale on the deeds of the family and how to support the family members.
10. Develop a complete nursing care plan for his discharge needs. You do not have to include the evaluation phase.
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