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The following is a case study with four questions. You are required to choose and respond to two questions out of four. Response to each question should not exceed 250 words and the length of the entire assignment is 500 words.
Mr Peter Woodland is a single, 6.2 feet tall, 81 kg and 30-year-old chemical engineer and working in Oil Industry in Darwin for past 4 years. He is regularly doing night shift. He often suffers sleeping and concentration problems and light-headedness. He has been feeling unwell for the past two weeks and has gone to see his GP Dr John Mathew in Tiwi Gardens. He presents with pale lips, brittle nails, sore mouth, fatigue, fever, night sweats and bruising. Peters doctor decides to request a full blood count. The blood sample is sent to a haematology laboratory in Berrimah.
The laboratory report that comes back shows that Peter has normocytic-normochromic anaemia, marked leucocytosis and marked thrombocytopenia. A blood film was made from Peters sample and examined microscopically. The report states that numerous blast cells were present in the blood film (50% of the white cells in Peters blood film are blast cells).
Answer any TWO Questions
1. Explain the terms normocyticnormochromic anaemia, marked leucocytosis and marked thrombocytopenia.
2. Outline the significance of the presence of numerous blast cells in Peters blood.
3. Explain whether the laboratory findings are consistent with Peters symptoms.
4. What would the treatment and nursing management for Peters condition?
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