ck out icine ts to k Vhat en) subcut daily for 1 week. The vial contains 480 mcg

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ck out icine ts to k Vhat en) subcut daily for 1 week. The vial contains 480 mcg/1.6 mL. syringe for the dose? coro 1 for osi CASE STUDY Read the scenario, and answer the following questions on a separate sheet of paper. wir Donna, a 62-year-old florist, is in the hospital because of severe dehydration after her second round of chemotherapy for ovarian cancer. At this time, the laboratory results revealed a critically low platelet count, and the oncologist has ordered a transfusion of 3 units of platelets. However, Donna states that she cannot accept the platelet transfusion because of her religious convictions. As a result, there are orders to begin therapy with oprelvekin (Neumega). ar at 1. What is the classification of oprelvekin? 2. What laboratory test results will you monitor while she is taking this medication and why? 3. Donna says, "I am worried about bleeding. When can this drug be started, and how long will I have to take it?" What will you explain to Donna about how this drug is given? 4. What patient teaching is important while Donna is taking this drug?

Explanation / Answer

1. ANS: Drug oprelvekin:

Generic name: Oprelvekin

Trade name: Neumega
Other names: IL-11, interleukin-11

Uses: This drug mainly used in the chemotherapy in order to prevent low platelets count in the blood. Oprelvekin can stimulate the bone marrow and it leads to the proliferation of new platelets in the marrow. Oprelvekin may be given to decrease the need for platelet transfusions.

2. ANS: The number of platelet levels in the blood was generally determined by platelet count. Complete blood count (CBC) is a panel of tests used for platelet examination in dona to examine platelet count. CBC test used as a monitoring tool for patient’s present underlying treatment with drugs known to affect platelets. It may also be used to monitor those being treated for a platelet disorder to determine if therapy is effective. Several symptoms like nausea and vomiting, diarrhea, mouth sores, and shortness of breath was monitored based on the platelet levels, so this blood tests play a vital role in this condition.

3. ANS: During the blood clotting the platelets are blood cells that allow the blood to clot and prevent bleeding. So due to this reason Dona want physician to administrate this drug quickly.

Generally the drug Oprelvekin is administrated 6-24 hours after chemotherapy through subcutaneous (the layer between the skin and muscle) layer.

Oprelvekin is generally given on a daily basis and the dose of the drug mainly depends on height and weight and the duration period was completely depends on her doctor.

4. ANS: Patient teaching guidelines while taking oprevelkin:

Do not take any kind of vaccination or immunization without your doctor's approval.

Dona was present at high risk of infection so try to avoid crowds and those not feeling well, and report fever or any other signs of infection immediately to your health care provider.

Wash your hands often.

Maintain good nutrition and get plenty of rest.

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