Case S.T. is a 67-year-old man who presented to the ER with dyspnea…

  

Case S.T. is a 67-year-old man who presented to the ER with dyspnea… CaseS.T. is a 67-year-old man who presented to the ER with dyspnea and weakness. Labs drawn: WBC white blood cell 4,300 mcl, Hgb hemoglobin 5.3 g/dl, Platelets-16,000 mclThe initial blood smear showed acute lymphoblastic leukemia. Although, the final pathological evidence confirmed high-risk, CD20-+, stage IVB diffuse large B-cell lymphoma. Evaluation confirmed palpable spleen and elevated lactate dehydrogenase, which are high-risk features for bone marrow involvement.The patient received 6 cycles of standard chemotherapy protocol: R-CHOP rituxan, cyclophosphamide, vincristine, doxorubicin, and prednisone.  During treatment, central nervous system was prophylaxed with intrathecal methotrexate biweekly. After treatment results:Initial staging lumbar puncture was negativeAggressive leukemic phase presentation and bone marrow involvementPost-treatment PET/CT scan consistent with complete remissionCerebrospinal fluid analysis remained negative throughout treatment.Referred to another provider for peripheral stem cell transplantation eligibility The patient experienced progressive new lower extremity weakness over 3-4 weeks, during pretransplantation evaluation, requiring use of a wheelchair. Due to this new weakness, the transplantation was delayed as the next 4 months due to multiple hospitalizations for continued neurologic deterioration. Neurologic changes were development of left 3rd cranial nerve palsy and severe bilateral motor neuropathy with a component of sensory neuropathy. PET/CT scan of the brain, spine, cerebrospinal fluid analysis were negative. A MRI scan was not performed due to the patients pacemaker.The patient was diagnosed with an atypical Gillian barre syndrome after consulting with neurology.Drug 1: Rituxan DX: Atypical Guillian-Barre SyndromeExplain use of RCHOP (rituxan, cyclophosphamide, vincristine, doxorubicin, and prednisone). Support or refute whether it is standard protocol. Include information for pharmacology and support with evidence within the last 5 years.Identify pharmacological options, indications of use, mechanism of action, side effects (most common), contraindications, required observations, labs, and nursing actions/interventions. Biology Science Pharmacology A 1

Don't use plagiarized sources. Get Your Custom Essay on
Case S.T. is a 67-year-old man who presented to the ER with dyspnea…
Just from $13/Page
Order Essay
  

Leave a Reply

Your email address will not be published.

Related Post

The different parts of the disaster management cycle generate different planning requirements. In a similar way, levels of plans (National,…The different parts of the disaster management cycle generate different planning requirements. In a similar way, levels of plans (National,…

  The different parts of the disaster management cycle generate different planning requirements. Ina similar way, levels of plans (National, Intermediate, and Community/Local Levels)  produce other requirements. Identify and discuss some

READ MOREREAD MORE
Open chat
💬 Need help?
Hello 👋
Can we help you?