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Flashcards in brain tumors in children Deck (19)
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1

what terms are not used in pediatric brain tumors

benign/malignant

2

prognosis

poor

3

neuroblastoma

8-10 % of childhood cancer

4

brain tumors are the

second most common cancer in childhood

5

names of tumor

based on location- can determine the type of tissue being affected

6

signs and symptoms of a tumor

related to the anatomical structure and placement in the brain

7

dx

definitively made during biopsy

8

LPs can be dangerous why?

can cause and increase in icp

9

trx depends on type of tumor

surgery, radiation, chemo- must cross blood brain barrier

10

radiation is not recommend in children under

3 years old

11

nursing management of tumors in children

prepare the child and family
changes in vs
head circumference
cushings triad
physical ability/ inability
draw a c/s after LPs
supports the child and family
assessment based on pt status
neuro checks
LOC- lethargy and irrability
pupillary reactions
response to stimuli
sleep patterns
avoid trendelinburg
deterioration
GCS
subjective judgment
positioning the child is not placed on the operative side
avoid activities that cause ICP
suctioning
minimize stimuli

12

irritability is a sign of

increased intracranial pressure

13

nutrition and hydration

child should be fed to conserve energy to prevent aspiration and choking
IV administration untill oral is tolerated
enteral nutrition when body functions are depressed and if child is unable to eat or drink
NG or GT tube
patient may still continue to risk of aspiration

14

nursing care

elimination
hygienic care
position and exercise
hearing impairment and regaining consciousness

15

what is a neuroblastoma

most common malignant extracranial solid tumor of childhood
majority of tumors develop in the adrenal gland or retroperitoneal sympathetic chain
head, neck, chest, pelvis
early detection is important

16

signs and symptoms of neuroblastoma

based on location and severity

17

what study must be done with neuroblastoma?

IVP- check for renal involvement with the cancer

18

management of a neuroblastoma

remove tumor and obtain biopsy specimen
irradiation and chemotherapy
bone marrow transplantation
stem cell rescue

19

younger the dx the

better the survival rate