Cancer Flashcards

(77 cards)

1
Q

equation for THR

A

20-30 above resting

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2
Q

name of DVT prediction test

A

Wells Clinical Prediction Rule for DVT

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3
Q

risk score interpretation aka probability of DVT:

> /= 3 points

A

high risk (75%)

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4
Q

risk score interpretation aka probability of DVT:

1-2 points

A

moderate risk (17%)

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5
Q

risk score interpretation aka probability of DVT:

<1 point

A

low risk (3%)

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6
Q

this might happen overnight in elderly population and change cognition

A

UTI

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7
Q

1 cancer killer

A

lung CA

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8
Q

most common cancer in men

A

prostate

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9
Q

most common cancer in women

A

breast

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10
Q

__________ kills more females than breast cancer

A

heart disease

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11
Q

what sex is more likely to develop cancer?

A

male

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12
Q

ethnicity/sex most likely to die from cancer

A

black men

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13
Q

cancer with lowest 5 year survival rate

A

pancreas

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14
Q

4 characteristics that describe cancer

A

clonality
autonomy
anaplasia
metastases

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15
Q

single stem cell proliferates into malignant clone

A

clonality

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16
Q

unregulated growth - no regulation by biochemical and physical influences

A

autonomy

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17
Q

lack of normal, coordinated cell differentiation

A

anaplasia

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18
Q

cancer cells develop capacity for discontinuous growth and can disseminate to other parts of body

A

metastases

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19
Q

process by which normal cell converts to a cancer cell

A

malignant transformation

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20
Q

cancer = _____ = ______

A

neoplasia

malignancy

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21
Q

3 things that cause illness in cancer

A
  1. local expansion
  2. biochemically active molecules
  3. invasion into adj or distant tissue sites
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22
Q

term for spread of cancer

A

metastases

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23
Q

variation in _____ can lead to development of CA

A

diet

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24
Q

where does breast/prostate CA metastasize?

A

bone
brain
lung
liver

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25
where does lung CA metastasize?
bone brain liver
26
chemo given after surgery to prevent a reoccurence
adjuvant chemo
27
chemo given prior to a surgical procedure, attempt to shrink tumor
neoadjuvant chemo
28
given to induce a remission, generally used for acute leukemia
induction chemo
29
given if a disease has not responded or reocurred after first line, in some cases known as salvage therapy
second line chemo
30
given specifically to address symptom management without significantly reducing the cancer
palliative chemo
31
means low point - drop in WBC, RBC, platelets
nadir
32
when does nadir occur?
7-10 days after treatment, takes 3-4 weeks to return to normal
33
term used to describe both the long term and late term effects of cancer treatment
persistent effects
34
2 important persistent effects across the board
pain and fatigue
35
peripheral neuropathy can be caused by which treatment?
chemo
36
what will a pt experience on the day of radiation?
fatigue
37
myelosuppression
bone marrow suppression
38
alopecia
hair loss
39
anemia
low RBC
40
neutropenia
low WBC
41
thrombocytopenia
low platelet
42
biggest problem in cancer therapy pts
mouth dryness
43
spo2 for anemic patients on room air
100%
44
anemia causes a drop in SBP or DBP?
DBP
45
call physician if your anemic patient has _______ on low levels of exertion
dyspnea
46
most common dose-limiting side effect
neutropenia
47
level of WBCs at which pt should wear a mask and not exercise
less than 1000
48
level of neutrophils at which pt should wear mask
less than 500
49
encourages stem cells to divide and develop into wbcs, rbcs, and platelets
colony-stimulating factors
50
colony-stimulating factors do not affect the ________ but support person's immune system during treatment
tumor
51
too many WBCs can cause these 3 things
1. spleen rupture 2. ards 3. pain in bones/muscle
52
too many RBCs can cause these 4 things
1. CVA 2. MI 3. DVT 4. tumor progression
53
too may platelets can cause
anaphylaxis
54
CRF
cancer related fatigue
55
potential contributors to CRF
proinflammatory cytokines
56
an effective strategy to treat CRF
low intensity aerobic exss
57
3 cancers CRF is most prevalent in
pancreatic, breast, lymphoma
58
bone loss can lead to..
hypercalcemia
59
2 things caused by immobility
DVT | pulmonary embolus
60
characterized by weight loss, anorexia, weakness, and loss of functional capacity
cachexia
61
in cancer, exercise is ineffective in....
building lean body mass
62
1 week of immobility could require as much as __________ of rehab to regain FS
1 month
63
how often to move a pt to avoid skin breakdown
every 2 hours
64
fixed joint position causes.....
collagen fibers to shorten
65
most common site for bony metastases
lumbar spine
66
radiation therapy can cause _____ edema
late
67
women with lymphedema should wear _____ during exss
wellfitting garment
68
hormonal therapy pts - be aware of ________-
osteoporosis
69
best rest rule
gravitational stress + exercise stress get them to move in bed even if they can't get up
70
WBC <5000 or 10,000 w fever
no exercise
71
WBC >5000
light exercise
72
HCT <25%
no exercise
73
hgb < 8
no exercise - bed mob, dangling
74
hgb 8-10
light exercise
75
hgb > 10
resistive exercises | aerobic exercises
76
platelet level for no exercise
<20,000
77
INR
universal measurement of how thin your blood is