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This Concept Map, created with IHMC CmapTools, has information related to: Acute Graft versus Host Disease (GVH), Lab values Weight Skin integrity Addiction/Withdrawal Infection control practices ???? Outcomes: Balanced electolyes and fluid status (short term) Weight maintained (intermediate) Pain controlled (short term) Abscense of gut and skin graft-versus host disease (Long term) Decrese risk of infection (intermediate) Increased sense of autonomy (intermediate), Medication: Corticosteroids Rituximab TPN/Lipids Steroid cream Pain control via PCA pump Leads to Outcomes: Balanced electolyes and fluid status (short term) Weight maintained (intermediate) Pain controlled (short term) Abscense of gut and skin graft-versus host disease (Long term) Decrese risk of infection (intermediate) Increased sense of autonomy (intermediate), Case Study: 16 year old female Dx: CML, status post BMT D+24 Assessment: Vitals wnl, maculopapular rash, frequent watery diarrhea Procedures: GI scope and biopsy Results: Grade II gut gvh, Grade I skin gvh Educate about Increased risk for infection due to: immunosuppression therapy risk for impaired skin integrity from gvh, Nursing Interventions: Gut Rest/NPO status Accurate Intake/Output Relaxation/distraction techniques Infection control/Hand washing Leads to Outcomes: Balanced electolyes and fluid status (short term) Weight maintained (intermediate) Pain controlled (short term) Abscense of gut and skin graft-versus host disease (Long term) Decrese risk of infection (intermediate) Increased sense of autonomy (intermediate), Increased risk for infection due to: immunosuppression therapy risk for impaired skin integrity from gvh reduce with ????, Medication: Corticosteroids Rituximab TPN/Lipids Steroid cream Pain control via PCA pump Side effect of Increased risk for infection due to: immunosuppression therapy risk for impaired skin integrity from gvh, Medication: Corticosteroids Rituximab TPN/Lipids Steroid cream Pain control via PCA pump Monitor Lab values Weight Skin integrity Addiction/Withdrawal Infection control practices, Nursing Interventions: Gut Rest/NPO status Accurate Intake/Output Relaxation/distraction techniques Infection control/Hand washing Monitor Lab values Weight Skin integrity Addiction/Withdrawal Infection control practices, Case Study: 16 year old female Dx: CML, status post BMT D+24 Assessment: Vitals wnl, maculopapular rash, frequent watery diarrhea Procedures: GI scope and biopsy Results: Grade II gut gvh, Grade I skin gvh Treat with Medication: Corticosteroids Rituximab TPN/Lipids Steroid cream Pain control via PCA pump, Case Study: 16 year old female Dx: CML, status post BMT D+24 Assessment: Vitals wnl, maculopapular rash, frequent watery diarrhea Procedures: GI scope and biopsy Results: Grade II gut gvh, Grade I skin gvh Treat with Nursing Interventions: Gut Rest/NPO status Accurate Intake/Output Relaxation/distraction techniques Infection control/Hand washing