Case Study : Acute Myeloid Leukemia

1003 WordsFeb 18, 20175 Pages
Case Study: Acute Myeloid Leukemia Niki Lovelace Middle Tennessee State University Advanced Pathophysiology NURS 5103 R58/Spring 17 20 February 2017 Introduction S.L. is a 34-year-old male that arrived at his primary care provider’s office today for what he states is his fourth “cold” this year. He proclaims that he has been coughing non-stop and feels congested. He denies taking his temperature but has felt occasional sweats and chills. This being his fourth visit to his primary care provider for the same signs and symptoms. At the previous visits, he was diagnosed with upper respiratory infections that only antibiotics such as amxocillin seem to clear up. Other medical management he has tried has been acetaminophen for…show more content…
189). When labs are stable and patient is afebrile, the patient will be evaluated for surgery for insertion of central line. “Since AML is essentially a systematic disease that arises in the bone marrow any organ can be affected resulting in the wide spectrum of clinical symptoms, laboratory findings, and disease manifestations. . . “ (Garza, 2015, p. 19). Therefore, a long term central line will come with advantage for the multiple lab draws and constant infusions. According to Cancer.net (2016) out of 100 people the five-year survivor rate for acute myeloid leukemia is 26%. The limited amount of precieptating factors makes early detection difficult. In addition, like many cancers, leukemia has normally spread rapidly before it is diagnosed. For leukemic patients throughout treatment repeat bone marrow biopsies are performed to track the progress and hopefully to see a decrease in myeloblasts. If the patient progress and signs and symptoms get worse, lumbar punctures will be performed to assess for central nervous system involvement. In addition, if standard treatments are
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