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Understanding Polycythemia and Lymphoma: Pathophysiology, Management, and Nursing Care

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This document provides detailed class notes on polycythemia and lymphoma, highlighting their pathophysiology, clinical manifestations, diagnostic approaches, treatment strategies, and nursing management. For polycythemia, it covers topics such as the types (primary and secondary), complications like thrombosis, and interventions like phlebotomy and medication. For lymphoma, it explores Hodgkin's and Non-Hodgkin's lymphoma, including diagnostic markers like Reed-Sternberg cells, staging, and treatment modalities such as chemotherapy and radiation therapy. The notes are designed to support nursing students in understanding these hematologic disorders and delivering effective, evidence-based patient care.

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DEVELOPMENT OF
LYMPHOCYTES




Mature B cells express CD20
Mature T cells express:
Helper T cells (CD4+)
Cytotoxic T cells (CD8+)

, LYMPHOMAS
• cancers originating in the lymphatic structures and in the
marrow resulting in uncontrolled proliferation of lymphocy
Two Types:
1. Hodgkin Lymphoma (HL)- There is a proliferation o
abnormal giant, multinucleated cells, called Reed-
Sternberg cells or Hodgkin cells, in the lymph nodes.
• Bimodal age:
• 1st peak is at15 to 30 years of age
• 2nd peak is older than 55 y.o.
• Affects men twice as women.
• Often starts in the upper body (neck, chest, armpits)

, ETIOLOGY (HODGKIN
LYMPHOMA)
• Cause is unknown
• Infection with Epstein-Barr virus (EBV)
• Genetic predisposition
• Exposure to occupational toxins (pesticides,
chemotherapy, & radiation)
• Increased in those with HIV
• Autoimmune rheumatoid arthritis, Sjögren’s
syndrome (attacks exocrine glands)

Connected book
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Mariann M. Harding, Collin Bowman-Woodall, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch Study Guide for Lewis\' Medical-Surgical Nursing - E-Book
Publisher: 2019 ISBN: 9780323595063 Edition: Unknown

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December 22, 2024
Number of pages
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Written in
2024/2025
Type
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