Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Clinical Case Study: Lymphatic System/Immunity

Clinical Case Study
Relative to these observations:
1. What do the red streaks emanating from
the bruised finger indicate? What would you
conclude his problem was if there were no red
streaks but the right arm was very edematous?
Lymphatic System/Immunity
Back to following the progress of Mr. Hutchinson,
we learn that the routine complete blood count
(CBC) performed on admission reveals both a
dangerously low total leukocyte count and a low
proportion of lymphocytes. One day postsurgery, he
complains of pain in his right ring finger (that hand
had a crush injury). When examined, the affected
finger and the dorsum of the right hand are
edematous, and red streaks radiate superiorly on his right forearm. Higher-
than-normal doses of antibiotics are prescribed, and a sling is applied to
the affected arm. Nurses are instructed to wear gloves and gown when
giving Mr. Hutchinson his care.
2. Why is it important that Mr. Hutchinson not
move the affected arm excessively (i.e., why
was the sling ordered)?
3. How might the low lymphocyte count,
megadoses of antibiotics, and orders for
additional dlinical staff protection be related?
4. Do you predict that Mr. Hutchinson's recovery will be uneventful or
problematic? Why?
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Transcribed Image Text:Clinical Case Study Relative to these observations: 1. What do the red streaks emanating from the bruised finger indicate? What would you conclude his problem was if there were no red streaks but the right arm was very edematous? Lymphatic System/Immunity Back to following the progress of Mr. Hutchinson, we learn that the routine complete blood count (CBC) performed on admission reveals both a dangerously low total leukocyte count and a low proportion of lymphocytes. One day postsurgery, he complains of pain in his right ring finger (that hand had a crush injury). When examined, the affected finger and the dorsum of the right hand are edematous, and red streaks radiate superiorly on his right forearm. Higher- than-normal doses of antibiotics are prescribed, and a sling is applied to the affected arm. Nurses are instructed to wear gloves and gown when giving Mr. Hutchinson his care. 2. Why is it important that Mr. Hutchinson not move the affected arm excessively (i.e., why was the sling ordered)? 3. How might the low lymphocyte count, megadoses of antibiotics, and orders for additional dlinical staff protection be related? 4. Do you predict that Mr. Hutchinson's recovery will be uneventful or problematic? Why?
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