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Trinity Valley Community CollegeAssociate Degree NursingFocused Clinical Activity – Level IIIConcept: Cellular RegulationClinical Objectives: 1. The student will be able to determine when a patient’s lab data indicates a risk for Developing an infection related to cancer disease process or treatments. 2. The student will list the hematopoietic growth factors (biologic response modifiers) and the uses in cancer care.Instructions: 1. The student will research several patient’s CBC results. (Preferably a patient diagnosed with cancer of some kind).2. Compare the patient’s WBC count and discuss the implications of the results. 3. Practice math calculations determining the Absolute Segmented Neutrophil Count (ASC) or Absolute Granulocyte Count (AGC) they are the referring to the same calculation. Clinical Activity:Patient ResultsNormal ValuesRed Blood Cell CountMale 4.5-5.3 million (106)/mm3Female 4.1-5.1 million (106)/mm3White Blood Cell Count4,500-11,000/mm3%HemoglobinMale 13.0-18.0 g/100 ml bloodFemale 12-16 g/ 100 mL bloodHematocritAdult Male 37-49 %Adult Female 26-46 %PlateletsAdults 150,000 -450,000/ mm3DifferentialThe differential is a % of the total # of WBCs in the sampleDifferential when added together should = 100EosinophilsLymphsBands (young segs0Granulocytes/Segmented Neutrophils (Segs) or Polys or PMNPatient ResultsNormal ValuesRed Blood Cell CountMale 4.5-5.3 million (106)/mm3Female 4.1-5.1 million (106)/mm3White Blood Cell Count4,500-11,000/mm3%HemoglobinMale 13.0-18.0 g/100 ml bloodFemale 12-16 g/ 100 mL bloodHematocritAdult Male 37-49 %Adult Female 26-46 %PlateletsAdults 150,000 -450,000/ mm3DifferentialThe differential is a % of the total # of WBCs in the sampleDifferential when added together should = 100EosinophilsLymphsBands (young segs0Granulocytes/Segmented Neutrophils (Segs) or Polys or PMNCompare the patient’s lab data with the disease processes.Patient #1Patient #2Medical diagnosisWBCTreatmentWhich hematopoietic growth factor would be administered?For each patient list the growth factor that would be used and the basic nursing interventions that are needed. ................
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