ACE Review - Oncology Flashcards Preview

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Flashcards in ACE Review - Oncology Deck (17)
1

breast ca. what metabolic disorder is seen

if there is mets, usually there is hypercalcemia

2

breast ca. what is considered hypercalcemic crisis

if ca is above 14 and symptomatic

3

breast ca. what are the gi symptoms of hyercalcemia

nausea and vomiting>>>volume contraction

4

breast ca. what are the neuro signs of hypercalcemia

altered mentation,

5

breast ca. what is seen with muscular symptoms of hypercalcemia

muscle weakness, hyper-reflexia and fasiculations

6

breast ca. what is seen with hypercalcemia hemodynamics

hypertension and bradycardia

7

breast ca. what is seen with renal symptoms of hypercalcemia

polyuria polydipsia noturia...volume contraction

8

breast ca. what is the volume status when hypercalcemia is present

hypovolemia

9

breast ca. what is usually given to pts when hypercalcemia and hypovolemia

ivf...albumine if pt is hypo-protien, hypoalbumin...the ivf will help dilute the hypercalcemia and replace volume loss

10

breast ca. does albumin work to help with hypercalcemia

yes..protiens are binders of calcium and helps relieve the ionized calcium load

11

breast ca. what infusion may help in hypercalcemia

phosphate infusion as it may chelate calcium

12

breast ca. when is phosphate infusion useful in treatment of hypercalcemia

in acute settings...when sudden change in mental status such as coma

13

breast ca. what are risks assoc with phosphate infusion when treating hypercalcemia

it may cause renal stones or vascular obstruciton

14

breast ca. what is the sodium metabolic derrangement seen

SIADH

15

breat ca. what is seen for the sodium levels.

hyponatremia Na<280

16

breast ca. what is seen in the urine

elevated sodium >30 and high osmolality > 200 aka siadh

17

breast ca. can the symptoms tell you anything about the sodium

coma pt usually have a sodium level less than 105