Sean Seales is a 23 year old patient with Hodgkin's lymphoma who is undergoing chemotherapy. He hasexperienced chills and fever with increasing fatigue for the past several days. Sean was assessed by hisoncologist and was hospitalized for possible early sepsis. He is neutropenic and will be started on IVantibiotics and fluconazole (Diflucan) IV.This activity contains 2 questions.1. Why was Sean started on both IV antibiotics and anti fungal medications?2. What possible adverse effects might Sean experience from the fluconazole (Diflucan)? As his nurse,what will you monitor?

Hodgkin lymphoma is a type of cancer found in the lymph nodes where the cancer originates in the…

Answered: Sean Seales is a 23 year old patient…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A 19-year-old male visits his primary care physician with a sore throat, swollen lymph nodes, and extreme fatigue. During the visit, the nurse finds that he has a fever. The patient reports that he is attending his second year of college at a local university. The physician performs a physical examination, which confirms large, swollen, painful lymph nodes. He decides to send the patient to the office laboratory for blood work. He orders a complete blood count (CBC) and viral and bacterial studies. Reference Range Reference Range WBC 13.3 × 103/uL 4.8–10.8 × 103/uL Neutrophils 40% 60%–70% RBC 4.5 × 109/L 4.7–6.1 × 109/L Lymphocytes 53% *20% of lymphocytes are atypical 20%–30% Hgb 14.1 g/dL 14–18 g/dL Monocytes 7% 5%–10% Hct 42% 42%–52% Eosinophils 0 0%–5% MCV 92 fL 80–100 fL Basophils 0 0%–2% MCH 27 pg 27–31 pg Absolute neutrophils 5.32 1.4–6.5 × 103/uL MCHC 33% 32% –36% Absolute…
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