Case Study, Chapter 34, Management of Patients with Hematologic Neoplasms

1. John King, 60 years of age, is a male patient who is admitted with the diagnosis of multiple myeloma. He present with a spinal fracture of the fifth lumber vertebrate. The patient is schedule for a vertebroplasty of the spinal fracture. The patient is to remain on bed rest and should be log rolled. Osteolystic lesions are seen in x-ray skull, vertebrae, and ribs. The patient has hypercalcemia. The patient's uric acid level is elevated. The patient has orders for zoledronic acid (Zometa), thalidomide (Thalomod), allopurinol (Zyloprim), calcitonin, ibuprofen, and Vicodin.

a. What nursing management should the nurse provide the patient?

b. Explain the indication and of the various medication ordered to treat the patient's symptoms