211 Test 1 Flashcards
(26 cards)
Leuk spreads
Spleen
Liver
Leukemia rf
Adult Male Genetic disorders Environment risks Previous cancer tx
Leukemia S/S
Spllenomegaly Fatigue Cns Kid stones Liver High uric acid
AML
Most common adult onset
Myeloblast and hyperplasia uncontrolled
AML poor prog
Wbc > 100k
Cns involvement
Induction
Kill the blasts taking over
Induction drugs
Rubicens
Mynazantrone
Cytarabine
Biopsy
Determine > 5% blast
Post remission
Eradicate leftover bad cells
Necessary
Antibiotics
Aminoglycosides
Pen derivative
Hgb plt
> 8
> 10
Cytarabine s/e
Hair loss
returns but different texture
Toxic to corneas (routine tears)
Tumor lysis syndrome
Know
Rubicins
Days 1-3
Cardio toxic
Hepato toxic
Very irritating
ALL
Acute lymphocytic leukemia
B cell (85%)
Teens and children
Uncontrolled myeloblasts
ALL good prognosis
No Down White female Responds to tx rapidly B cell Detected 1-9 yo
Methotrexate
Leuko stomatitis anemia
Pulmonary fibrosis
Aplastic
Sj
Leukovorin
Helps prevent renal toxicity and keep urine alkaline
ALL
1-9
Wbc > 50
All high risk
> 10 yo
> 50k
CML
Chromosomal 15% all adult More men 30-50yo Asymptomatic 70% of cases become AML
Chronic cml
< 10% blast cells
Accelerated cml
10-19% blast cells
Blast crisis cml
> 20% blast cells