Comprehensive Cancer Care Case Studies: 4 Clinical Project Analyses

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[...] - Antipyretics (paracetamol 1 g IV every 6 hours in case of temperature > 38 °C). - Follow-up of biological results : Hb 8 g/dL, leucocytes with 45% blasts, PNN 500/mm³. Nurse's proper role - Monitoring of temperature and blood pressure (TA 100/50 mmHg, TO 36.8 °C). - Oral care Frequent with antiseptic bath to prevent mucite. - Maintain a sterile environment (strict hygiene practices - Psychological Support to help them express their fears. - Aide à la prévention des complications related to feeding (gentle mobilization). [...]

[...] - Antiemetics preventive (ondansetron 8 mg IV every 8 h). - Corticosteroid therapy (dexamethasone 8 mg IV). - Hydration by physiological serum (1000 mL over 8 hours) and glucose serum (1000 mL over 8 hours). - Exams blood : control of red blood cells (Hb 12 white blood cells 000/mm³) and renal function (to adjust the dosage if necessary). Proper Role of a Nurse - Monitoring of Intestinal Transit (evaluate the stools, frequency of diarrheic/constipative episodes). - Evaluation of Abdominal Pain and response to treatment (EN [...]

[...] - Coordination with the physical therapist for the rehabilitation of the operated arm (prevention of lymphedema). Expected Results Reduction of asthenia (score [...]

[...] - Antiemetics and analgesics according to prescription (ondansetron 8 mg IV twice a day, dexamethasone 8 mg IV, paracetamol 1 g IV in case of pain). - Tamoxifen in daily adjuvant hormone therapy. Proper Role of a Nurse - Prevention of side effects : monitoring of vital signs, management of nausea and monitoring of mastectomy scar - Encouragement to the progressive return to eating in accordance with nutritional needs. - Surveillance of the scar pain (EN [...]

[...] - Inform the patient on the importance of mouthwashes for preventing infections. - Psychological accompaniment : active listening and well-informed the patient on the treatment and side effects. - Support in the application of comfort care : gentle gargling and adapted diet (smooth and cold to avoid irritation). - Regular monitoring of urine output fluid schedule (42 mL/h currently) to prevent renal insufficiency induced by Cisplatin. Interprofessional Role - Collaboration with the dietitian for adapting the diet in case of oral pain. [...]