If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S? Case summary: A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

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Answer 1

Question

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

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DaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?

Answer 2

Question

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 3

Question

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 5

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 6

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 7

Chapter 47, Problem 1CS

(1)

Summary Introduction

To determine:

If. P.S. had diminished production of platelets and white blood cells, what sort of symptoms the nurse would expect in Mr.P.S?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 8

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 9

(2)

Summary Introduction

To determine:

A week later of chemotherapy treatment Mr.P.S WBC and neutrophil count are assessed. P.S. WBC count is 0.8 cells/mm³, whereas his pretherapy WBC count is 6200 cells/mm³. His absolute neutrophil count is 450 cells/ mm³, whereas pretherapy value is 1600 cells/ mm³. The oncologist prescribed Filgrastim (Neupogen), 480 mcg: subcutaneous daily. What is the purpose of the order for the Filgrastim? The nurse will need to assess P.S. for what conditions before beginning the Filgrastim?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 10

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 11

(3)

Summary Introduction

To determine:

The nurse noticed a women carrying an infant baby entering Mr.P.S. room by wiping the infant’s nose after baby sneezed. What will nurse do immediately as a priority action?

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 12

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 13

(4)

Summary Introduction

To determine:

Mr.P.S. asks the nurse that “How long will he have to take these injections? He hates to have another slot of injection” What will the nurse reply to Mr.P.S. question.

Case summary:

A 38-year-old surveyor named Mr.P.S is taking a second round of chemotherapy treatment for his non-Hodgkin’s lymphoma. The oncologist is monitoring signs and symptoms of bone marrow suppression of various blood components in Mr.P.S.

Answer 14

Expert Solution & Answer

Answer 15

Expert Solution & Answer

Answer 16

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Answer 17

Ch. 47 - Prob. 1O Ch. 47 - Prob. 2O Ch. 47 - Prob. 3O Ch. 47 - Prob. 4O Ch. 47 - Prob. 5O Ch. 47 - Prob. 6O Ch. 47 - Prob. 1CS Ch. 47 - Prob. 1NERQ Ch. 47 - Prob. 2NERQ Ch. 47 - Prob. 3NERQ

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Chapter 47 Solutions