Besas, Czarina F.

BSN-IV
HEALTH TEACHING PLAN FOR AML
Learning Learning Time Allotted Resources Evaluation
Objectives Strategy Needed
Within 15-20 1. Health 1. 15-20 1. Lecture Goal met.
minutes of health Teaching minutes 2. Handouts The patient was
teaching, the lecture able to know
patient will be able the signs and
to: symptoms of
1. Know the infection, who
signs and to inform about
symptoms it, know all
of infection steps to prevent
and advise and manage
when to bleeding and
notify. know the uses
2. State 2-3 of the drugs
steps about needed to take
preventing for AML.
and
managing
bleeding.
3. Use of
medication
s that were
given to the
patient for
AML.

Lecture

Preventing infection:

 Frequently monitor the client for pneumonia, pharyngitis, esophagitis, perianal cellulitis,
urinary tract infection, and cellulitis, which are common in leukemia and which carry
significant morbidity and mortality.
 Monitor for fever, flushed appearance, chills, tachycardia; appearance of white patches in
the mouth; redness, swelling, heat or pain in the eyes, ears, throat, skin, joints, abdomen,
rectal and perineal areas; cough, changes in sputum; skin rash.
 Check results of granulocyte counts. Concentrations less than 500/mm3 put the patient at
serious risk for infection.
 Avoid invasive procedures and trauma to skin or mucous membrane to prevent entry of
microorganisms.
  Use the following rectal precautions to prevent infections: Avoid diarrhea and
constipation, which can irritate the rectal mucosa, avoid the use of rectal thermometers,
and keep perineal are clean.
 Care for the patient in private room with strict handwashing practice.
 Encourage and assist patient with personal hygiene, bathing, and oral care.
 Obtain cultures and administer antimicrobials promptly as directed.

Preventing and Managing bleeding:

 Watch for signs of minor bleeding, such as petechiae, ecchymosis, conjunctival

hemorrhage, epistaxis, bleeding gums, bleeding at puncture sites, vaginal spotting, heavy
menses.
 Be alert for signs of serious bleeding, such as headache with change in responsiveness,
blurred vision, hemoptysis, hematemesis, melena, hypotension, tachycardia, dizziness.
 Test all urine, stool, emesis for gross and occult blood.
 Monitor platelet counts daily.
 Administer blood components as directed.
 Keep patient on bed rest during bleeding episodes.

Medications:

 Cefuroxime - an antibiotic used to treat and prevent a number of bacterial infections.

These include pneumonia, meningitis, otitis media, sepsis, urinary tract infections, and
Lyme disease. It is used by mouth or by injection into a vein or muscle.
 Paracetamol - also known as acetaminophen, is a medication used to treat pain and fever.
It is typically used for mild to moderate pain relief.
 Ceftriaxone - a cephalosporin antibiotic. Ceftriaxone is used to treat many kinds of
bacterial infections, including severe or life-threatening forms such as E. coli,
pneumonia, or meningitis. Ceftriaxone is also used to prevent infection in people having
certain types of surgery.