Question: HOME CARE CHECKLIST The Patient With Gastric Cancer Case Study For NUR 2110 Cancer Diagnosis/Surgery: Harold Is A 54 Year Old Male With Complaints Of Constipation, Abdominal Cramping And Ribbon- Like Stools X 2 Months. His Primary Care Physician Referred Him To A Gastro-enterologist Who Ordered A Colonoscopy. Biopsies Were Taken During The Colonoscopy …

HOME CARE CHECKLIST The Patient With Gastric Cancer Case Study for NUR 2110 Cancer Diagnosis/Surgery: Harold is a 54 year old male with complaints of constipation, abdominal cramping and ribbon- like stools x 2 months. His primary care physician referred him to a gastro-enterologist who ordered a colonoscopy. Biopsies were taken during the colonoscopy which showed a 8 cm tumor in the descending colon., with 4/10 lymph nodes positive for malignancy. The pathology report showed an adenocarcinoma of the colon. A CT scan was performed which showed multiple areas of metastasis in the liver and lungs. Harold is scheduled for a partial colectomy to remove the tumor and insertion of a port-a cath for chemotherapy. He may have a temporary colostomy. You are doing his pre-operative teaching. Nursing Management- Admission: Harold recovered well from the surgery and his temporary colostomy has been reversed. He received his first chemotherapy treatment with IV Sflourouracil and Oxalipłatin 10 days ago, and is admitted to your unit again with a diagnosis of r/o sepsis. He is in a semi-private room with a post-op patient that has diff. His CBC is as follows: WBC: 600/mm3 Hgb: 6.2 g/dL Hct: 24% Platelets: 22,000/mm3 6. Why did this patient receive two different chemotherapies? 7. What are important factors to consider when assessing a patient post chemotherapy administration? 8. Identify the following terms: leukopenia, anemia and thrombocytopenia. 9. Does the client have any of these conditions? If so, list which one(s) and identify the lab data that corresponds with it. 10. Harold is 10 days post chemo treatment. Why is this significant? 11. What are your priorities of care with this patient based on the results of the CBC?