Onco: Treatment Complied Flashcards Preview

PSBIM: Oncology > Onco: Treatment Complied > Flashcards

Flashcards in Onco: Treatment Complied Deck (29):
1

Chemotherapy associated N and V for High risk chemotherapy regimens

Neurokinin 1 receptor antagonist +
Sertonin antagnosis (5HT3) +
Dexamethasone

2

Chemotherapy associated N and V with Moderate risk chemo regimens

Sertonin antagnosis (5HT3) +
Dexamethasone

3

Chemotherapy associated N and V With low risk chemo regimens

Single agent
Neurokinin 1 receptor antagonist or
Sertonin antagnosis (5HT3) or
Dexamethasone

4

Mucositis

Palifermin
Kertainocyte growth factor- preventive

5

Diarrhea secondary to chemo

Loperamide
Octerotide- non responsive

6

Alopecia

Chemo caps

7

Acneiform rash seen with EGFR directed small molecules

Topical clindamycin gels
Low potency GCs

8

The ff are recommended for Hypertension secondary to anti VEGFR/VEGF except
A.Lisinopril
B.Amlodipine
C.Clonidine
D. Metoprolol

D

The rest are recommended

9

SVC syndrome

Primary tx: radiotherapy
Relievers:
Diuretics
Low salt diet
Head elevation
O2

10

SVC syndrome (Only if lymphoma)

Glucocorticoids

11

Pericardial effusion/ tamponade

Pericardiocentesis
Sclerotherapy
Peridacardial window
Complete pericardial stripping
Cardiac irradiation
Systemic chemo

12

Intestinal obstruction

Initial : Surgical evaluation
Self expanding metallic stents
Nasogastric decompression
Percutaneous endoscopic or surgical gastrsotomy

13

Urinary obstruction (associated with flank pain, sepis , or fistula)

Immediate palliative urinary diversion:
Internal ureteral stents
Percutaneous nephrostomy

14

Bladder outlet obstruction due to malignancy

Suprapubic cystostomy

15

Malignant biliary obstruction

Palliative stenting for disabling pruritus resistant to medical treatment, severe mal abosorption, infection

16

Malignant spinal cord compression

Dexamethasone (6 mg IV q 6hrs)
Radiation + GC

17

Increased intra cranial pressure- Initial management

Dexamethasone


Stereotactic radiosurgery

18

Increased intra cranial pressure (Multiple mets)

WBRT (Whole brain RT)

19

Increased ICP: Single mass

SIngle: surgical excision followed by WBRT

20

Increased ICP: With 1-4 lesions with stable systemic disease and have failed WBRT

Sterotactic surgery

21

Neoplastic meningitis

Intrathecal chemotherapy (Methotreaxate, cytarabine, thiotepa)

22

Seizures

Phenytoin or Levetiracetam

23

Prevention of TLS

Allopurinol
Urinary alkalinization
Aggressive hydration

24

Recombinant urate oxidase given in allopurinol failure on the background if renal failure

Rasburicase

25

Prevention of Human antibody infusion reaction

Diphenhydramine
Hydrocortisone
Acetaminophen

26

HUS

No optimal tx.
Rituximab (?)

27

Typhilitis

Broad spectrum antibiotic coverage
Nasogastric suction
Surgery

28

Hemorrhagic cystitis

MESNA
Irrigate with formalin or NAC or Prostaglandins

29

Hepatic candidiasis

Amphotericin B