CSO exam Flashcards
(95 cards)
1
Q
velcade
bleomycin
Avastin
Erbitux
A
no green tea
2
Q
xeloda
A
give B6 for hand/foot
3
Q
tagretin
A
no grapefruit
4
Q
exjade
A
contains lactose
5
Q
sprycell
Tarceva
Affinitor
A
no St. John’s Wort, No grapefruit
6
Q
5FU
A
give B6 for hand foot
7
Q
methotrexate
A
no folic acid, no ETOH
8
Q
Alimta
A
Add Folic Acid and B12
9
Q
Mutulane
A
no tyramine foods
10
Q
Zometa
A
Give 500mg Calcium and 400 IU Vit D
11
Q
Mercaptopurine
A
avoid dairy at same time
12
Q
Nexavar
A
No St. John Wort
13
Q
Tasigna
A
no grapefruit, contains lactose
14
Q
Metallic taste
A
cisplatin, etoposide, vinblastine
15
Q
Antimetabolites
A
Cell cycle Specific
5FU, Methotrexate, ARA C, Gemzar, Xeloda
16
Q
Gerson Therapy
A
Mostly juiced vegetables
Includes supplements and frequent enemas
17
Q
Budwig Diet
A
flaxseed oil + cottage cheese (quark) 2 times a day
Avoid dairy and complete protein sources
No supplements rec
Essiac tea and red wine
18
Q
Alkaline diet
A
Restricts red meat, sugar, flour coffee ETOH
May need Calcium and Vit D
19
Q
Livingston Wheeler
A
Vegetarian but also get vaccine made from own blood or urine
Pts strongly advised to avoid
20
Q
Gonzalez Regimen
A
Metabolic tx
varies according to individual
rec large dose of vitamins/minerals and animal glandular products
21
Q
Macrobiotic Diet
A
Avoid all meat, dairy, eggs and processed sweeteners
Can meet requirements when carefully planned
22
Q
Omega 3 fats
A
may reduce toxicity of irinotecan and paclitaxel
may enhance clinical benefit of Adriamycin, cisplatin and vincristine
may cause bleeding >4 grams a day
23
Q
Quercetin
A
anti inflammatory effects
may decrease bioavailability of iron
24
Q
melatonin
A
may improve response in women on tamoxifen w/ mets
25
Co Q 10
may reduce renal and cardiotoxicities of adriamycin but no dose identified
26
black cohosh
may interfere with tamoxifen
| may be toxic to liver
27
SERM
selective estrogen receptor modulators
| tamoxifen, fareston, evista
28
Aromatase Inhibitors
Arimidex, Femara, Aromasin
29
femara
high cholesterol
30
Progesterones
Megace
Anti estrogen effects
Can cause hyperglycemia
31
Antiandrogens
casodex, Eulexin
32
Lutenizing Hormone Releasing Hormone Agonists (LHRH)
Lupon, Zoladex
| bone pain, gynecomastia
33
trismus
"lockjaw"
| can be late side effect of Rad to H & N
34
bulking agents
Citrucel, Konsyl
| Bran flaxseed, wheatgerm
35
stool surfactants
Colace, mineral oil
36
Osmotic laxatives
miralax, lactulose, MOM
37
Stimulant Laxatives
senocot, bisacodyl
38
selenium
may decrease prostate cancer growth in its aggressive form
39
calcium
may protect against colon cancer but >1500 mg can increase risk for prostate cancer
40
Progesterones
may cause hyperglycemia
| used as anti estrogens and as appetite stimulants
41
Letrozole (AI)
may increase cholesterol
42
adiponectin
a protective hormone that decreases insulin resistance and inflammation and promotes apoptosis
43
Vitamin E
high doses may promote a modest increase in risk of prostate cancer (SELECT)
44
Protein requirements in cancer
1.0-1.5gm/kg
45
Protein requirements in cancer cachexia
1.5-2.5 gm/kg
46
dysgeusia
Altered sense of taste
47
oral candidiasis interventions
```
good oral hygiene
soft, low acid foods
avoid sugar and yeast derived foods
1 T. yogurt held in mouth x 5 minutes a day
nystatin or Diflucan or chlorhexidine
```
48
dysphagia interventions
```
posture
avoid distractions
double swallow
moist foods
Avoid straws
thicken liquids prn
SLP eval
```
49
acute nausea and vomiting meds
Zofran, aloxi, anzemet, kytril
50
delayed nausea and vomiting meds
dopamine antagonists: Compazine OR Phenergan
Cannabinoids: marinol or cesamet
benzodiazapines: Ativan, valium
Corticosteroids: decadron, prednisone
51
to prevent CINV
decadron
Zofran
rezonic OR emend
reglan
52
ginger dosage for n/v
0.5-1.0 gram ginger extract
53
mucositis interventions
good oral care
sip honey in warm water
avoid carbonation, alcohol and tobacco
54
pancreatic enzyme dosage
30,000-40,000 lipase units per meal
10,000 units for snack
Do not exceed 2500 lipase units/kg body weight/meal
55
hyponatremia
fluid overload, may need to add sodium and restrict free water (SIADH)
56
hypernatremia
dehydration
57
when to hold enteral nutrition
if gastric residual volumes are >/= to 500 ml
58
Strontium 89(metastron) common nutrition side effect
Vomiting
59
Methadone side effects
Nausea and constipation
60
MST
| PG-SGA
In OR Outpatient use
61
MUST
| MSTC
Inpatient only
62
ECOG
O is perfect
| 5 is dead
63
Karnofskys
100 is perfect
| 0 is dead
64
Alkaline diet needs supplements of
Calcium and vitamin D
65
Feed (blank) to an anastomosis makes it more resistant to leaks
Proximal
66
Follow a low microbial diet for how long after autologoustransplant?
3 months
67
Long-term complications of HCT include
Chronic GVHD
Osteoporosis
Endocrine complications
Growth and development issues.
68
Tamoxifen increases your risk for developing this
Osteoporosis
69
If you take this in high doses it may increase your risk of developing long cancer
Beta carotene
70
Avoid folic acid when taking this
Methotrexate
71
What is the most common site for colorectal metastasis
Liver
72
Common Nutrition complications for NHL
Metabolic syndrome and hypothyroidism
73
Xofigo and Xgeva Are both used to treat ?
Relapsed NHL
74
What is one of the most disabling effects of chemotherapy used in lung cancer treatments?
Peripheral neuropathy
75
What is the long-term complication for an ovarian cancer patient
Osteoporosis and heart health
76
Which cancer patients experience the greatest weight loss
Pancreatic and gastric
77
Monoclonal antibody’s that include risk of cardiotoxicity
Pertuzumab(Perjeta)
Trastuzumab(herceptin)
Ado-trastuzumab( Kadcycla)
78
Which chemotherapy agents are most likely to cause SIADH?
Cisplatin cyclophosphamide and Vincristine
79
Which organ system is most negatively impacted by antitumor antibiotics and may need nutrition management?
Renal
80
Which pancreatic surgeries are not associated with dumping syndrome?
PPPD AND Distal Pancreatectomy
81
The most common presenting symptom of endometrial cancer?
Acute abdominal pain
82
Use these serotonin antagonist for acute N and V
Zofran
Kytril
Anzemet
Alicia
83
Probiotics rec for malabsorption
S boulardi
| L rhamnosus
84
How much jejunum and ileum are needed for adequate GI absorption
100 cm jejunum
| 150 cm ileum with illeocecal valve
85
To avoid significant hyperglycemia and potential refeeding syndrome initiate parenteral nutrition with this much dextrose
25-50% of goal dextrose
86
indications for post pyloric feeding
Gastroparesis,
gastric outlet obstruction,
Duodenal obstruction
fistula proximal to the tube feeding location
87
What is the standard parenteral electrolyte requirement for calcium
10-15 Milliequivalents per day
88
Standard requirement for sodium and potassium per day in parenteral nutrition
1-2 mEq /day each
89
In PN The minimal daily requirement for lipids
250ML’s of 20% OR 500 ML’s of 10% twice per week
90
What is the hang time limit for IV FAT infusions
12 hours
91
Potential toxicities from PN Longterm
Manganese
chromium
aluminum and
Elevated triglycerides
92
Certain multi trace elements PN products do not contain what trace element
Selenium
93
What is incompatible with IV Fat infusions and should be administered separately?
Iron
94
Energy requirements for a Esophageal cancer
30-35 cal/kg
95
Protein requirements for esophageal cancer
1. 0 to 1.2 kg if weight stable
| 1. 2 to 1.6 kg if stressed
