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MedSurg 2 Exam One > Care of patients with cancer > Flashcards

Flashcards in Care of patients with cancer Deck (29):
1

Radiation Care
water temp?
Ice?

warm temp
no ice

2

Which specific bone structures, if radiatiated, cause fractures?

iliac crest/sternum (sites with bone marrow

3

most important intervention for chemotherapy?

prevent extravastion

4

when does hypersensitivity to chemo occur?

15-30 min

5

What does extravasation look like?

no blood return on IV
resistance of flow
burning, pain, swelling, redness

vs hypersensitivity will itch and flare (same: swelling and redness)

6

intervention for extravasation?

cold/warm compress
discontinue
aspirate
apply antidote

7

how often do you assess pt undergoing chemo?

Q 8

8

how often does a chemo patient need hygiene?

Q12 *important

9

early s/s of decreased platelet levels

petechiae - purple blood vessels
ecchymosis - discolored from bleeding underneath

10

precaution for patient receiving oxaliplatin

avoid cold fluids or temperature extremes

11

SE of hormonal manipulation (for CA tx)

opposite sexual phenotype appearance
venous thromboembolism
acne
hypercalcemia - weakens bones
liver dysfunction

12

how does targeted therapy work?

blocks signal for turning on cell division genes

13

if pt is hemorrhaging ___ is tx

cryoprecipitate clotting factors

14

s/s of mild SIADH

weakness, muscle cramps, loss of appetite, fatigue

15

s/s of SIADH after sodium levels drop below 110

seizures, coma and death

16

how often should you monitor for s/s of fluid overload in SIaDH

Q2

17

immunotherapy: interleukins

charge up/stimulate immune system (cause inflammation)

18

immunotherapy: interferons

slow down tumor cell division

19

immunotherapy: thalidomide

reduce tumor angiogenesis (blood vessel development) factor aka reduces the spread

20

SE of immunotherapy

generalized/severe inflammatory read
fluid retention
fever
peripheral neuropathy
skin problems

21

early s/s of spinal cord compression

located in the periphery

22

nursing interventions for hypercalcemia

increase water intake (flushes calcium out)
maintain calcium intake w/o restrictions

23

s/s of Superior vena cava syndrome

***

early = facial edema (esp. around the eyes)
and stroke sign inflammation of the throat (tightness around collar of a shirt)

24

very aggressive kind of lung cancer, worst kind

small cell lung cancer

25

right sided colon lesions cause what s/s

dull abdominal pain
melena - (black stool)

26

left sided colon lesions cause what s/s

intestinal obstruction (fecal oozing, pain, distension)
bright red blood

27

most common type of tumor

meningioma

28

which types of brain tumors should u get removed since they affect functioning

glioma
meningiomas

29

most helpful diagnostic tool for brain tumor

MRI