a. Gastrointestinal.
(1)
Symptomatic treatment for nausea, vomiting, and diarrhea.
(2) Encourage a nutritious, appetizing diet of the patient's preferred foods to
combat anorexia and improve nutritional status.
b. Hematological.
(1)
Administer vitamin and mineral supplements as ordered.
(2)
Observe skin and mucous membranes for evidence of bleeding or
bruising.
(3)
Implement the use of soft bristle toothbrush and electric razor.
c. Integumentary.
(1)
Use mild cleansers to avoid further skin irritation.
(2)
Apply soothing lotions (p.r.n.).
(3)
Administer prescribed antipruritics to combat itching.
d. Cardiovascular.
(1) Administer prescribed medications for control of hypertension,
pulmonary edema, and congestive heart failure.
(2)
Monitor vital signs.
(3)
Observe for dependent edema.
(4)
Auscultate lungs for the presence of fluid.
e. Metabolic.
(1)
Observe strict I & O.
(2)
Monitor blood levels of electrolytes.
(3)
Check weight daily and assess for fluid retention.
(4)
Implement prescribed dietary modifications.
(a) Sodium restriction to decrease water retention.
MED918
2-35