Peds Exam 3a - Onc Flashcards
(57 cards)
peds vs adult cancer
peds is not organ cancers
-born with it like blood and bone cancers
-kids respond well to chemo
how are tumors named & symptoms
type and location, symptoms are based on size, location & age
when will we start to do radiation
once they are over 2 years old d/t how it affects growth
nursing considerations for post opt glioblastoma tumor removals
-do not want to position on the side it was taken out of
-reduce ICP
-neck flexion
-NPO
-comfort measures
-eye care (moist & covered)
neuroblastoma
the most common malignant extracranial solid tumor in childhood (most common during infancy)
chest, neck, pelvis
s/s of neuroblastoma
depends on location and stage of disease
therapeutic mgt of neuroblastoma
-if they can remove them, they will
-chemo & radiation
lymphomas
hodgkin & non hodgkin
tumors that arise in the lymphatic system
-hod: more prevalent in 15 to 19 yr olds
-non: most prevalent in <14
hodgkin disease has which type of cell
reed-sternbery cells
hodgkin disease treatment
-chemo (does well for hod & non)
-radiation maybe
-HSCT (stem cell transplant)
S/s hodgkin disease
-painless
-enlarged lymph nodes
-fever
-night sweats
bone tumor: osteosarcoma
-seen in the long bones w/ pain, limping & decreased ROM
-spreads & hard to remove
-amputation of leg
work w/ child on body image
bone tumor: ewing sarcoma
not seen in young kids
intermittent pain that worsens + redness & swelling + systemic symptoms like a fever -> treated with chemo and radiation
rhabdomyosarcoma
specific to kids
-tends to mimic other things going on w/ vague non specific symptoms often overlooked, example: ear ache
-often spreads
-chemo & radiation
wilms tumor (nephroblastoma)
young person cancer
an encapsulated tumor that attaches itself around 1 or both kidneys, often caught during routine physical when we palpate the mass
once you palpate a mass, what is the next step
immediately stop palpation because we are at risk of rupturing the tumor -> get imaging and confirm or disprove
wilms tumor clinical manifestations
either no symptoms or abdominal pain, not eating well, and possibly blood in urine
treatment of wilms tumor
immediate nephrectomy w/ removal of all regional lymph nodes and chemo with or without radiation
good prognosis
retinoblastoma
congenital malignant tumor that arises from the retinal cells ( usually one sided), high chance of this being hereditary so if one kid has it then the others are at risk and need to be screened frequently
retinoblastoma dx
cats eye reflex instead of red eye reflux
retinoblastoma treatment
removal of the eye
very important to protect the good eye
post opt care for eye removal
-large pressure dressing
-wash out eye socket during dressing change
-antibiotic ointment
if a sibling has retinoblastoma, how often should siblings be screened after the dx
every 1-3wk for the first year after
testicular tumors
not common but need to teach the importance of testicular self examinations (same w/ breasts)
