Colorectal Cancer Flashcards Preview

203A Exam One > Colorectal Cancer > Flashcards

Flashcards in Colorectal Cancer Deck (11):

What is colorectal cancer?

A malignant neoplasm of the colon. It can invade epithelium and surrounding tissue of colon and rectum and can extend through bowel wall and metastasize


Is colorectal cancer preventable?

Yes, with screening.


What are 9 risk factors for developing Colorectal cancer?

1. Genetics
2. Ethnicity (african american men highest risk)
3. Diet
4. Obesity
5. Sedentary lifestyle
6. Alcohol
7. Smoking
8. Irritable bowel disease hx
9. Age


What are 7 typical dx tests for Colorectal cancer?

1. Colonoscopy (virtual may be done for screening)
2. Sigmoidoscopy
3. Digital rectal exam, barium enema
4. CT, MRI, US
5. Labs (CBC, serum iron, serum ferritin, CEA (carcinoembryonic antigen)
6. Stool tests for occult blood
7. Biopsy for dx and/or staging


What are 5 typical s/sx of Colorectal cancer?

1. Vague in early disease (insidious); can be asymptomatic for years
2. Sx do not appear until disease is advanced
3. Rectal bleeding (hematochezia), anemia
4. Abdominal pain
5. Weight loss


What are 5 warning signs for Colorectal cancer?

1. Change in bowel elimination habits
2. Blood in stool
3. Rectal or abdominal pain
4. Change in character of stool
5. Sensation of incomplete emptying


Long-term use of ASA and NSAIDS leads to what?

Marked decreased risk for colorectal cancer


What is the typical prognosis for colorectal cancer pts?

Stage 1 >90%
Stage 2 70-80%
Stage 3 64%
Stage 4 8%


What are 3 typical tx for colorectal cancer patients?

1. Surgery (bowel prep--colectomy, colostomy, colon and/or rectum removal)
2. Chemotherapy for some patients
3. Radiation for some patients


What might be some patient teaching for nurses who have colorectal cancer?

1. Body image concerns
2. Quality of life
3. Can recur--do a CEA every 3 months and an annual colonoscopy
4. Possible complications (Bowel obstruction, bleeding, perforation, peritonitis, fistula formation)


What are 6 typical Post-Op Bowel Surgery care orders?

1. Surgical site care and sterile dressing changes (stoma care and teaching if indicated)
2. NG tube; Strict NPO (progress to diet after flatus)
3. Ambulate!
4. Assess fluid volume (dehydrated vs overload)
5. Strict I and O
6. Drain care if indicated
7. Prevent complications (Bowel obstruction, bleeding, perforation, peritonitis, fistula formation)