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BSN LAST TEST-Pt 1 > Cancer-Lab counts and IV chemo > Flashcards

Cancer-Lab counts and IV chemo Flashcards

1
Q

What are lab counts like?

A

Reduce WBC, RBC, and platelets

Hypercalcemia (with bone metastasis)

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2
Q

What is an administrative issue when giving IV chemo?

A

Extravasation (drug leaks to surroundings tissue)

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3
Q

How is tissue like if extravasation occurs?

A

Tissue will have necrosis

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4
Q

Prevention of extravasation ?

A
  • Careful monitoring of access site is critical during chemo administration to prevent leakage of larger volume
  • Cold/warm compress (depending on drug)
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5
Q

What are vesicants?

A

Chemicals that damage the tissue on direct contact

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6
Q

What if extravasation occurs with a vesicant?

A

The result of extravasation can include pain, infection, and tissue loss

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7
Q

What is needed sometimes with vesicant extravasation?

A

Surgery

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8
Q

Why do many chemo pts. have a port implanted?

A

So peripheral tissues are not affected and extravasation chances decrease

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9
Q

T/F: Even with a port, the nurse must observer closely for any indication of leakage and initiate management guidelines immediately

A

T

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10
Q

PPE is used with what chemo?

A

Oral and IV

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11
Q

Anyone preparing, giving, or disposing of chemo drugs of handling excreta (wastes) from pts. within ___ of receiving IV chemo must use extreme caution and wear PPE

A

48 hours

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12
Q

What is PPE?

A

Eye protection
Mask
Double glove or chemo gloves
Gown

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13
Q

T/F: If pregnant you should not handle chemo

A

T

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14
Q

T/F: Chemo drug tubing comes primed

A

T (not always but this is done sometimes by pharmacy to keep chemo safe in controlled environment)

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15
Q

Infection risk

Who gets neutropenic cautions?

A

WBC less than 1000

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16
Q

Infection risk

How often to inspect IV sites?

A

q4h

17
Q

Infection risk

Chemo pts. should avoid what?

A

Invasive procedures

18
Q

Infection risk

What is for the pt. only?

A

Should have dedicated equip

19
Q

Infection risk

Avoid what foods?

A 
Fresh fruit
Undercooked meat
Fish or eggs
Paprika
Raw nuts
Yogurt
20
Q

Neutropenia

What lab indicates this?

A

WBC less than 1000

21
Q

Neutropenia

What if pt. needs to leave room?

A

Place mask on pt. when transporting

22
Q

Neutropenia

What foods to avoid?

A 
Fresh fruit, veggies
Undercooked meat
Fish
Eggs
Raw nuts
Yogurt

*these could all potentially contain bacteria

23
Q

During the times your WBC counts are low

Avoid what?

A

Crowds and other large gatherings of people who might be ill

24
Q

During the times your WBC counts are low

Do not share what?

A

Personal toilet articles

  • toothbrush, toothpaste
  • washcloths
  • deodorant sticks
25
Q

During the times your WBC counts are low

How often to bathe? With what? What if you can’t bathe?

A

Bathe daily if possible

Use antimicrobial soap

If total bathing not possible, wash under armpits, groin, genitals, and anal area twice daily with antimicrobial soap

26
Q

During the times your WBC counts are low

How often to clean toothbrush?

A

At least weekly by either running it through dishwasher or rinsing it in liquid laundry bleach (then rinsing bleach with hot running water)

27
Q

During the times your WBC counts are low

When to wash hands?

A 
Before eating and drinking
After touching pet
After shaking hands with ppl
As soon as you get home from outings
After bathroom

*wash with antimicrobial soaps

28
Q

During the times your WBC counts are low

Follow what?

A

Cancer centrer instructions about eating fresh salads, raw fruits, and veg; meat, fish, egg; pepper and paprika

29
Q

During the times your WBC counts are low

When to wash dishes?

A

Between use with hot, soapy water or use dishwasher

Do not reuse cups/glasses w/o washing

30
Q

During the times your WBC counts are low

Do not drink what after its been out at room temp for longer than an hour?

A

Water
Milk
Juice
Or other cold liquids

31
Q

During the times your WBC counts are low

Do not do what about pets?

A

Change liter boxes

32
Q

During the times your WBC counts are low

How often to take temp?

A

At least once a day and when you don’t feel well

33
Q

During the times your WBC counts are low

Report what signs of infection to pharm. immediately?

A
  • Temp over 100F
  • Persistent cough (w or w/o sputum)
  • Pus/foul smelling drainage from open skin/body openings
  • Presence of boil or abscess
  • Cloudy/foul smelling urine that causes burning
34
Q

During the times your WBC counts are low

T/F: Take all prescribed drugs

A

T

35
Q

During the times your WBC counts are low

Wear what when outside in garden or working with house plants?

A

Clean, disposable gloves underneath garden gloves

36
Q

During the times your WBC counts are low

What about sex life?

A

Wear a condom if you’re a man

Make man wear condom if you are woman

BSN LAST TEST-Pt 1 (27 decks)

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