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MR. DEVESH YADAV
(B.SC.NURSING)
TOPIC :-
MYELOMAPresented by
Sub. Adult Health Nursing (MSN)
INTRODUCTION :-
?Myeloma is also known as multiple
myeloma, plasma cell myeloma and
kahler's disease. Myeloma is ab
accumulation of the neoplastic cell which
infiltrate the bone marrow and destroy
bone.
CONTINUE.............
?It is a cancer of the plasma cell characterized by
a malignant proliferation of plasma cell derived
from a single clone.
? Plasma cell an important part of the immune
system that provide immunoglobulin
(antibodies) to help fight with infection and
disease.
DEFINITION :-
?Multiple myeloma is one of the
many condition that can cause
problem with your plasma cell.
CAUSE (ETIOLOGY) :-
?Expert are not sure what cause multiple
myeloma but some are following :-
? Unknown
? Genetic abnormalities
? Exposure to very large dose of
radiation
? Immune system dysfunction.
SIGN AND SYMPTOMS :-
? Early on you might not notice any symptoms but over
the time you many have
? Bone pain
? Weakness and fatigue
? Weight loss, Loss of appetite
? Upset stomach
? Constipation
? Confuse , Server thrust
DIAGNOSTIC EVALUATION: -
?History collection
?Physical examination
?Too much calcium in your body (hypercalcimia)
?KFT, CBC, Chest X-Ray (show spot of bone
damage)
?Also need CT scan, MRI.
COMPLICATIONS :-
?Bone problem
?Blood problem
?Infection
?Kidney damage etc.
MANAGEMENT (TREATMENT)
:-
?Chemotherapy and Radiation therapy
?Provide corticosterois (Betamethasone)
?Provide chemo drugs
? - Bendamustine
? - Cyclophosphamide
? - Doxorubici.
CONTINUE.................
?Provide monoclonal antibodies (help your
immune system)
? - Daratumumab
? - Elotuzumab
? - Isatuximab
?Provide immune therapy.
CONTINUE.................
?Surgical Option: -
? Laminectomy, (removal of myelomutous
tissue)
? Spinal Fusion
NURSING MANAGEMENT: -
?Provide medication.
?Provide psychology support.
?Provide needed therapy.
?Advise to take health diet.
?Monitor vital sign.
Thank
you
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