Cancer Flashcards

1
Q

Altered peripheral nerve function

A
  • From chemo or tumor in spine
  • Loss of peripheral sensation
  • Gait changes
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2
Q

Bone cancers

A
  • Bone fractures
  • Hypercalcemia
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3
Q

Radiation causes what cardiac conditions

A
  • pericarditis
  • CAD
  • HF
  • Valve diseases
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4
Q

Brachytherapy

A

capsule of radiation that comes into direct contact

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5
Q

Radiation hospitalized patients

A

No pregnant women or kids able to visit

waste is radioactive

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6
Q

Portable lead shields go where

A

between door & patient

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7
Q

Sealed implant radiation: Interventions

A
  • Private bath/room
  • Door closed
  • Dosimeter
  • Never turn back on patient
  • No kids under 16 visiting
  • No pregnant women
  • Each visitor 30 min max visit time
  • Dislodged = forceps into lead container
  • Equipment can leave the room
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8
Q

Acute radiation effects on brain

A
  • Ear irritation
  • High ICP
  • Blurry vision
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9
Q

Head & neck acute radiation effects

A
  • Thrush
  • Cavities
  • Dry mouth
  • Esophagitis
  • Conjunctival edema
  • Tearing
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10
Q

Acute radiation effects on chest & lungs

A
  • Taste change
  • Pneumonia
  • Cough
  • Fibrosis of breast tissue
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11
Q

Abdominal acute effects of radiation

A
  • Dry vagina
  • ED
  • Infertile
  • Cystitis
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12
Q

CNS acute radiation effects

A
  • Brain necrosis
  • Emotional dysfunction
  • Pituitary & hypothalamic dysfunction
  • Spinal cord myelopathies
  • Hypothyroidism
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13
Q

Photosensitivity after radiation

A
  • Specific to skin in the path of radiation
  • Avoid sun for 1 year after tx
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14
Q

Skin protection during radiation

A
  • Wash daily
  • Use hand, not washcloth
  • No sun to affected area
  • Avoid heat
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15
Q

-tecan

A

Causes significant diarrhea

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16
Q

Vincristine

A
  • Peripheral neuropathy
  • Severe constipation
17
Q

During chemo

A
  • Monitor blood return frequently
  • Cold/warm compresses to area (not always)
  • Oral agents cannot be crushed/chew/split
  • If missed dose, omit & take next when scheduled
  • Disposal = take to pharmacy
18
Q

SE of chemo

A
  • Bladder toxicity
  • Heart damage
  • Osteoporosis
  • Dexrazoxane to protect heart from damage
  • Bleeding from low platelets
  • Neutropenia
  • Mucositis
19
Q

Neutropenic Patients

A
  • Clean room/Br daily
  • Vitals q4
  • Inspect mucous membranes daily
  • Encourage activity
  • WBC count daily
  • No foley
  • Bathe daily
  • No perishable liquid that’s been out 1+ hr
  • No pet cleanup
  • Condom use
  • Gloves when gardening
20
Q

Thrombocytopenia nursing care

A
  • No IM or venipuncture
  • Smallest gauge needle
  • Ice to trauma areas
  • IV q4h bleed assessment
  • No enema
  • Suppositories must be lubed
  • No waterpik
  • No objects into nose
  • No hot food
  • Stool softener to px straining
21
Q

Dexamethasone for chemo nausea

A
  • Monitor glucose
  • Do not take late in day (affects sleep)
  • Na retention
  • HTN
22
Q

-prepitant

A
  • Use more pregnancy prevention
  • Interferes with warfarin
23
Q

Ondansetron

A
  • QT prolongation
  • ECG monitoring
24
Q

Mucositis

A
  • Brush q8 & after meals
  • Inspect mouth daily
  • No ETOH mouthwash
  • 4x day rinse & spit water, NS, saltwater
  • Inc fluids
  • artificial saliva
25
Q

Chemo peripheral neuropathy

A
  • Inspect feet daily
  • Water less than 105 degrees
  • High fiber foods
  • Inc fluids
  • Fall prevention
26
Q

Superior vena cava syndrome

A
  • Mediastinal or chest wall tumors
  • Catheter clot can cause it
  • Facial edema
  • Head fullness
  • Engorged vessels
  • Dyspnea
  • Stridor
  • Low CO
  • Cyanotic
  • HOTN
27
Q

Tumor lysis syndrome

A
  • Large amounts of tumor cells destroyed rapidly
  • Causes AKI
  • Hyperuricemia
  • Hyperkalemia
  • Hyperphosphatemia
  • Non-hodgkin lymphoma
  • Lethargic
  • Anorexia
  • Flank pain
  • Weak
  • Seizures
  • ALOC
  • Inc fluids leading up to tx (3+ L)
  • Diuretics
  • Allopurinol, febuxostat, rasburicase
  • Dialysis