|Anemia||Bone marrow depressed secondary to therapy.|
Malignant infiltration of bone marrow by cancer.
|Monitor hemoglobin and hematocrit levels.|
Administer iron supplements and erythropoietin.
Encourage intake of foods that promote RBC production
|Leukopenia||Depression of bone marrow secondary to chemotherapy or radiation therapy.|
Infection most frequent cause of morbidity and death in cancer patients.
Respiratory and genitourinary system usual sites of infection.
|Monitor WBC count, especially neutrophils.|
Tell patient to report temperature elevation and any other manifestations of infection.
Teach patient to avoid large crowds and people with infections.
Administer WBC growth factors
|Thrombocytopenia||Bone marrow depressed secondary to chemotherapy.|
Malignant infiltration of bone marrow crowds out normal marrow.
Spontaneous bleeding can occur with platelet counts ≤20,000/μL.
|Observe for signs of bleeding (e.g., petechiae, ecchymosis).|
Monitor platelet counts.