Risk:
Family history
> 50
Obesity, fat intake, alcohol, radiation
Nursing Assessment:
Lump: UOQ (glands)
Hard, irregular shape, nonmobile, painless
Nipple discharge (clear/blood)
Nipple retraction, Peau d’ orange, dimpling
Dx:
Mammography, biopsy
Carcinoembryonic antigen (CEA)
Nursing Management:
Surgery
Lumpectomy
Mastectomy: breast tissue, nipple
Modified radical: axillary lymph nodes included
Radical Mastectomy: pectoral muscles removed
Semi-Fowler’s pos, affected arm elevated on a pillow
Care of surgical drain (Jackson-Pratt), use gloves emptying
NO BP, venipunctures affected arm
ROM exercise
External radiation/brachytherapy
Chemotherapy
Adriamycin, Cytoxan
Categories:
Nursing Management,
Oncology
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