UNDERSTANDI

Hodgkins
NG
Disease

Dorothy Pearl L.
You need to know that
HD
-is a type of lymphoma

-a cancer that starts in white

blood cells called
lymphocytes
-originates in the lymphoid
system and involves
predominantly lymph nodes
 You need to know that
HD
The 2 main types are: Classic Hodgkin
disease (which has several subtypes)
and Nodular lymphocyte predominant
Hodgkin disease.
Classic Hodgkin disease
Nodular sclerosis Hodgkin disease
Mixed cellularity Hodgkin disease
Lymphocyte-rich Hodgkin disease
Lymphocyte-depleted Hodgkin
disease
The suspect
Slide Title
agent

Epstein EBV

Barr
Number of cases
3.2 % worldwide
10.9%
Philippines
Number of cases
8,260 new cases
Common in
males
 Anatomy and
Physiology
2 major types of
lymphocytes:
B lymphocytes
T lymphocytes
 Anatomy and
Physiology
The lymph system
helps fight infections and
some other diseases
also helps fluids move in
the body
Mainly composed of:
lymphoid tissue, lymph,
lymphatic vessels
 Staging
Stage I: Hodgkin disease is found in only 1
lymph node area or lymphoid organ such as the

COTSWOLD
thymus (I).
Stage II: found in 2 or more lymph node areas
STAGING SYSTEM
on the same side of (above or below) the
diaphragm the muscle beneath the lungs
that separates the chest and abdomen
Stage III: found in lymph node areas on both
sides of (above and below) the diaphragm
Stage IV: spread widely through 1 or more
organs outside of the lymph system
Pathophysiology
Pathophysiology
Diagnostic
Lymph node
Tests
needle biopsy
Chest X-ray
CT scan, MRI
Positron Emission
Tomography
(PET) Scan
CBC count
Bone marrow
Diagnostic
Tests
 General Nursing
Interventions
Provide patient and family with
information about the possible
treatments such as chemotherapy and
radiation therapy
Allow verbalization of feelings regarding
concerns and anxieties
Teach parents and child about risk of
infection and how to prevent them
Encourage frequent small meals, using
bland and soft diet
 General Nursing
Interventions
Encourage mouth care
at least twice per day
and after meals
Suggest ways to
address fatigue such
as: energy conservation
and avoid overexertion
Administer antiemetic
before chemotherapy
 Interventions
HODGKINS LYMPHOMA
Doxorubicin (Adriamycin)
Bleomycin (Blenoxane)
Vinblastine (Velban)
NON-HODGKINS LYMPHOMA
Cyclophosphamide (Cytoxan)
Doxorubicin (Adriamycin)
Vincristine (Oncovin)
 Procedures
Bone marrow transplantation
Procedures
Nursing Care Plans
Ineffective breathing pattern related to pressing of
trachea due to swelling of nodes

Hyperthermia related to increased metabolic rate

and infection
Imbalanced nutrition: less than body
requirements related to related to
hypermetabolic state, distress and fatigue
Impaired tissue integrity related to high-dose
radiation therapy secondary to treatment of
Hodgkins disease
Risk for infection related to altered immune
function and tissue destruction