CHAPTER 4 Hematologic System^203
- Immunosuppressive therapy:
- vincristine, azathioprine, cyclosporine, cyclophosphamide
- rituximab
- Stem cell transplantation.
NURSING DIAGNOSIS
- Risk for infection
- Disturbed body image
- Risk for ineffective individual coping
NURSING INTERVENTIONS
- Monitor vital signs for changes.
- Monitor for signs of bleeding or bruising.
- Decrease chance of bleeding:
- Use soft toothbrushes, no flossing, only electric razors.
- Protect from potential infection, sick visitors, etc.
- Encourage patient to discuss feelings about illness.
Crucial Diagnostic Tests
Bone Marrow Biopsy
WHY IS IT DONE?
The removal of bone marrow by needle aspiration to determine blood cell formation.
HOW DOES THE TEST WORK?
Local anesthetic used at the site: posterior iliac crest, sternum, and ribs. Skin cleansed
per protocol for a sterile procedure. Specimen removed from within bone, prop-
erly labeled and delivered to lab.