Medical-surgical Nursing Demystified

(^196) Medical-Surgical Nursing Demystified

• Adequate hydration.


• Anticoagulants such as aspirin.


• Administer myelosuppressive medication:
  
  
  • hydroxyurea
  
  
  • anagrelide
  
  
  • radioactive phosphorus 32
  
  
  
  


• Administer medication to lower uric acid level if necessary:
  
  
  • allopurinol
  
  
  
  


• Alkylating agents:
  
  
  • melphalan
  
  
  • busulfan
  
  
  
  


• Radiation therapy.


• Antihistamine for pruritis.

NURSING DIAGNOSES

• Ineffective tissue perfusion


• Disturbed sensory perception


• Risk for injury

NURSING INTERVENTION

• Monitor vital signs.


• Monitor for bleeding.


• Monitor for signs of infections.


• Keep the patient mobilized to decrease chance of clot formation.


• Increase fluid intake.


• Explain to the patient:
  
  
  • Maintain activity.
  
  
  • Use electric razor, use soft toothbrush, and avoid flossing to decrease
    chances of bleeding.
  
  
  • Avoid activities that could cause injury.