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Hydroxyurea significantly improves the frequency of sickle cell crisis, but it has a long list of adverse effects. But if the dose is monitored properly and complete blood count of patient is done on regular basis, than some of the adverse effects can be easily identified and managed accordingly.
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Hydroxyurea passes into breast milk and may have undesirable effects on a nursing infant.
Esophagitis is a common side effect of cancer treatment that can be caused by radiation therapy or chemotherapy.
Consider hospital discharge when the patient's pain is controlled with an orally administered analgesic or no analgesia is needed.
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The nurse should instruct the client to keep the stoma moist, such as by applying a thin layer of petroleum jelly around the edges, because a dry stoma may become irritated.
There is no complementary or alternative therapy that effectively treats bone marrow failure.
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Genes that give instructions for making ribosomal proteins (r-proteins).
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Administer oxygen for the first30 minutes after birth.
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An increased white blood cell count may or may not be present and is not related specifically to multiple myeloma.
Ask your doctor or nurse before scheduling dental appointments or procedures.
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Only one small differencedistinguishes nurses who write NCLEX questions: Theyre trained to write questions in astyle particular to the NCLEX.
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This time period can vary from 3 weeks to several months and will be determined by your surgeon and medical oncologist.
When patients with sickle cell develop infections, they are nearly always hospitalized immediately and treated with intravenous or high-dose injections of antibiotics in order to prevent septicemia, the dangerous spread of the infection throughout the body.
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Any activity that puts pressure on the palms or soles should be avoided, but some examples include: washing vigorously, running, jumping, aerobics, long periods of walking, working with garden or repair tools (i.
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To counteract gastrointestinal problems, take additional B complex vitamins as 9 tablets of brewer's yeast per day, or in a supplement.
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Macrocytosis may mask folic acid deficiency; prophylactic folic acid is recommended.
Monitoring arterial blood pHhelps the nurse evaluate the effectivenessof treatment.
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NURSING DIAGNOSES Anxiety Risk for injury Disturbed sensory perception (kinesthetic) Acute pain Fear193A brain tumoris an abnormalmass found in thebrain resulting fromunregulated cellgrowth and division.
Heavy alcohol use and the combined use of tobacco increase the risk.
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Effect of hydroxyurea on mortality and morbidity in adult sickle cell anemia: risks and benefits up to 9 years of treatment.
Use at least an SPF -25 sunscreen on your involved arm when you are outside or in the car.
It is important to talk to your doctor or specialist nurse before your operation.
Which statement bythe mother shows understanding of why herchild needs snacks?
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Of female subjects with known HU exposure at conception or during gestation and by male subjects with known exposure at the time of conception, 16 pregnancy outcomes were reported with 8 live births (6 term and 2 premature deliveries), 5 elective abortions, and 3 spontaneous abortions.
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If you need dental treatment, you should talk to your specialist about whether you should stop your bisphosphonates beforehand.
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Despite these risks, the risk of malformations of the fetus are not increased, so long as radiation is not given during pregnancy.
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You will be a better caregiver if you are not only able to meet the needs of your loved one, but also your own needs.
Do not stop taking hydroxyurea without talking to your doctor.
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Promote independence in activities of dailyliving (ADLs) to maintain self-esteem.
Cytogenetic abnormalities and leukemic transformation in hydroxyurea-treated patients with Philadelphia chromosome negative chronic myeloproliferative disease.
Monitor for maternal adverse reactions to terbutaline or ritodrine.
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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Reduction of riskpotentialCognitive level: Comprehension3.
Her daughter Sue accompanies her to treatment on Thursday (1 FMLA covered day for Sue, intermittent leave); her son Mike stays with her on Fridays and through the weekend (1 FMLA covered day for Mike, intermittent day).
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