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Flashcards in T3 - Blueprint 3 (Josh) Deck (102)
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1

--- is NOT associated w/ a neurological deficit b/c there are no nerves in the sac.

Meningocele

2

Leukemia is more common with who?

- whites
- boys
- family history
- Down's Syndrome

3

Normal HCT

Male: 38.8 - 50.0%

Female: 34.9 - 44.5%

4

How is Wilm's Tumor treated?

Surgery to remove kidney/tumor

Chemo (dactinomycin or vincristine)

Postop Radiation

5

Meds for ICP

Mannitol and steroids

Midazolam

Antibiotics

Antiepeleptics

Barbituates

Phenobarbital

6

Signs of ICP

headaches

irritability

HIGH PITCHED CRY (Cat Cry)

Vomiting

Visual Changes

Ataxia

Seizures

7

After amputation w/ Osteosarcoma, what drugs help treat phantom limb pain?

TCA Antidepressants

8

Unilateral dilated pupils indicate ---

Fixed dilated pupils indicate ---

Bilateral fixed and dilated pupils indicate ---

intracranial mass

brainstem herniation

brainstem herniation from ICP

9

--- is a very serious form of Lymphoma and is treated aggressively.

NHL

- radiation
- chemo

10

--- is a malignancy that occurs in the adrenal gland, sympathetic chain of the retroperitoneal area, head, neck, pelvis, or chest.

Neuroblastoma

11

What is Hemorrhage Cystitis and how is it treated?

S/E of Chemo where a sudden onset of hematuria combined with bladder pain and irritative bladder symptoms.

treat w/
- encourage fluids
- encourage frequent voiding
- mesna to protect bladder

12

Oftentimes, with osteosarcoma, there can be temporary relief of pain when ---

extremity is flexed

13

What is the purpose of chemo for Retinoblastoma?

to reduce tumor size so that other treatments can be used

14

Leukemia can lead to...

- Deficient RBCs = ----
- Deficient WBCs = ---
- Deficient Platelets = ---

Anemia

Neutropenia

Thrombocytopenia

15

Which stage of NHL?

single tumor w/ regional involvement on SAME SIDE of diaphragm

Stage 2

16

Which stage of NHL?

Any of stages 1-3 plus CNS or bone marrow involvement

Stage 4

17

The following are LATE SIGNS of which type of cancer?

- Pain

- Hematuria

- Ulcerations in mouth

- Enlarged kidneys and TESTICLES

- ICP

Leukemia

18

Positive signs for meningitis:

Brudinski Sign

flex the child's head while supine

if this makes knees or hips flex involuntarily, it is a positive sign

B for brain (lift head)

19

Which Stage of NHL?

single tumor at single site

Stage 1

20

--- seizures are drop attacks.

Atonic or Akinetic

- can cause injuries to face and head b/c they are unable to break their fall

21

We want our Hgb to be above ---

11 gm/dL

22

What is Intrathecal Chemotherapy?

chemo administerd via lumbar puncture to treat cancers that have reached the CNS

23

Positive signs for meningitis:

Kernig Sign

raise leg w/ knee flexed then extend leg at knee

if resistance or pain, it is positive sign

K for knee (flex the knee)

24

Foods rich in Folic Acid are ---

Foods rich in Vit C are ---

Folic Acid
- leafy green veggies
- beans
- citrus fruits
- breads
- cereals
- rice
- pastas

Vit C
- bell peppers
- dark leafy greens
- kiwi
- broccoli
- berries
- tomatoes
- peas
- papayas
- citrus fruits

25

Which type of Lymphoma is more diffuse through the body, Hodgkins or Non-Hodgkins?

Non-Hodgkins

- also cell type is undifferentiated

- dissemination is earlier and faster

- mediastinal involvement and invasion of meninges also is typical

26

-- is toxic encephalopathy that can be caused by ASA use in kids?

Reye's Syndrome

- also pepto bismol

27

What is reduced and elevated w/ VIRAL Meningitis?

Protein slightly elevated

WBC elevated (500 or more)

28

Treatment for Rhabodmyosarcoma?

surgical biopsy, local radiation and chemo, rather than radical surgical procedures

29

What will be reduced and elevated with BACTERIAL Meningitis?

Glucose reduced

Protein elevated

WBC elevated (1000 or more)

30

Why is Intrathecal Chemo necessary?

typically, BBB prevents chemo drugs from crossing into brain to treat cancer there

so it must be administered into the spinal column