Med Surg: Major Cancers Flashcards Preview

Med Surg Test 2: Oncology > Med Surg: Major Cancers > Flashcards

Flashcards in Med Surg: Major Cancers Deck (33)
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1

Lung Cancer

Leading cause of cancer deaths

Poor long-term survival because late-stage diagnosis

Origination typicall bronchial

Symptoms: persistant cough, SOB, hoarseness, hemoptosis, chest pain, voice change, URI

2

What are risk factors for lung cancer?

Smoking

pollution

asbestos

environmental exposures

3

What is the screening/detectuib for lung cancer?

xray

MRI

biopsy

 

 

4

What is the diagnosis for lung cancer?

advance stage when caught

5

What is the prognosis for lung cancer?

53% when at local stage

5 year survival rate

6

What is the treatment for lung cancer?

Chemo: signs metastasis, not all lung cancer responds well

Radiation: esophagitis, dysphagia

Surgery: lobectomy, pnemonectomy, spare as much tissue as possible

7

What is surgical management of lung cancer?

lobectomy

Pneumonectomy

Segmentectomy

Wedge resection

8

What is terminal care of lung cancer?

palliation: radiation due to decrease blood supply

Hospice

Symptom Management: pain, oxygen, bronchodial, corticosteriods, mycolytics, fears

9

What are the risk factors of breast cancer?

Increases with age

Tend to run in families

Delayed/no childbearing

Increase of breast density

10

What are the signs of breast cancer in men?

usually presents as a hard, painless, subareolar mass

Widely spread disease because it is usually detected at a later stage then wormen

11

What is the treatement of breast cancer?

Chemo used prophylactically when premenopausal

Horomone therapy if positive for hormonal growth factors

12

What is the prevention of breast cancer?

maintain normal weight

low fat diet

early detection

13

What is the surgical care of breast cancer?

improved

lumpectomy 

avoid radical masectomy

14

What are surgical complications in breast cancer?

radiation common with lumpectomy

Chemo used with node involvement

Mestatsis

Premenopause

15

What are the risk factors for colorectal cancer?

Age older then 50 years

Genetic predisposition

personal or family history of cancer

familial adenomatous polyposis

16

What are the most common signs of colon cancer?

rectal bleeding

anemia

change in stool

17

What are the stages of nonsurgical management?

Stage I: tumor invased to the muscle layer

Stage 2: tumore invased to the other organ or perforates peritoneum

Stage 3: any level of tumor invasion and upto 4 regional lympth nodes

Stage 4: any level of tumor invasion; many lymph nodes affected with distant metastasis

 

18

What is the screening/detection of colon canceR?

hemocoult ctool after 50 

Digital rectal exams after 50

colonscopy 

19

What are the treatments for colon cancer?

Colon resection

Abdominoperineal resection

Colonstomy

20

What is the prevention of colon cancer?

Diet modification (fiber)

Aspirin therapy

Dietary calcium supplement

21

Laboratoy Assessment 

Hemoglobin and hematocrit values usually decrease

Fecal occult blood test

Possible elevation of carcinoembryonic antigen

imaging assessment

22

What are the risk factors of prostate cancer?

age 75% about 65

PSA levels

decrease urinary streatm

nocturia

difficult void

low back pain

23

What is the screening for prostate cancer?

first symptoms realtaed to bladded neck obstrution

digital rectal exam

prostate-specific antigen

biopsy necessary to confirm suspected prostatic cancer

24

What are the surgical procedures for prostate cancer?

Transurethral resection of the prostate

Suprapubic prostatectomy

Retropubic prostatectomy

Perineal prostatectomy

25

What is continuous bladder irrigation

3-way urinary catheter with a 30-45 ml retention balloon through the urethra into the bladder

traction via taping to patient abdomen or thrigh

uncomfortable urge to void continuously

antispasmodic meds

26

What is the Post-Op care of radical prostatectomy?

Hydration with IV therapy

caring for wound drains

preventing emboli

preventing pulmonary complications

antibiotics

analgestics

27

What are complicaiotns?

urinary incontinence

erectile dysfunction

28

What is nonsurgical management of prostate cancer?

radiation

Hormonal therapy

Chemotherapy

29

What is the imaging assessment for head and neck cancer?

CT

chest xray

MRI

30

What are interventions for head and neck cancer?

radiation

Chemotherapy

cordectomy

laryngectomy