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Predisposing factors: Acute Myelogenous Leukemia

Precipitating factors:
Age- client is 2 years a clonal disorder caused by malignant
old- immune system is Recurrent exposure to
transformation of a bone marrow-
not yet well-developed radiation (x-ray) twice a
derived, self-renewing stem cell or
year since client was
progenitor, which demonstrates a
Family history- client’s one year old at Don
decreased rate of self-destruction as
grandfather (mother’s Gregorio T. Lluch
well as aberrant differentiation.
side) died due to acute Memorial Hospital
myelogenous leukemia
at the age of 70
Blood transfusion: 2 units
Abnormal Platelet concentrate- Aug.
hematopoeisis 19, 2010
petechi
ae
Increased Bleeding Decreased
Tendencies Platelet count:
Myeloblast
Myeblast 40, 000/cumm
abnormality bruises

Prednisolone 5 mg 2 tabs
Decrease RBC count, after breakfast, 1 tab after
platelet count, and supper
Frozen cell
Cell Mutation immature leukocytes
maturation
(blood dyscrasia)

Increased
lymphocytes:
90 %
Decreased Proliferation Arrest of Cellular
High numbers of
Control Differentiation
immature or abnormal Decreased
leukocytes are unable to segmenters:
fight and destroy 9%
microorganisms
Disrupted Genes
Decreased Oxygen Increased
Concentration/ WBC:
Distribution in the Severe bacterial and 12,700/cum
blood viral infections m
Immature Clone of
Cells Temperature:
Decreased
38.3˚C
hematocrit:
35.0 vol. % Paracetamol 250/5 4 mL q4h
Body
PRN
Rapid Proliferation of Abnormal malaise Nasal sepsis
flaring
Cells Chest
Palmar pallor
indrawing
Weak, thread Kussmaul’s
pulses respirations Multi-organ
Pale, dry mucous Capillary refill more than 3
membranes
dysfunction
Abnormal, immature seconds
leukocytes circulate the Increased heart rate: 129 syndrome
Use of accessory muscles
bloodstream bpm (compensatory
(sternocleidomastoid) when
mechanism)
breathing

Blood Transfusion: 1 unit


Packed RBC- Aug. 19, 2010
DEATH
High numbers of WBC
bones bone marrow
infiltrate the organs and
failure
other parts of the body

crackles
Lungs
Production of
sputum (yellow-
Enlargement of the
Kidney green)
blood forming organs CNS
s
(liver, spleen)

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Dizzine
ss
Hepatomegaly Pitting bipedal
Abdominal Splenomegaly Renal
distention insufficiency edema
Dry, cracked
Angioedema
lips

Uremia

Legend:

Precipitating factors Treatment

Disease process Laboratory results

Manifestations experienced by client

Not experienced by client

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