4092 8 Cancer Flashcards
Prostate CA: ____ metastasis is a concern
Bone
Prostate CA: ___ growing
Slow growing
Breast CA: Classified as invasive when it
penetrates the tissue surrounding the mammary gland
Malignant exacerbation in # of wbc, usually immature. Affects bone marrow
Leukemia
Malignancy of lymph node or a single chain of nodes-usually lymph nodes, tonsils, spleen and bone marrow
Lymphoma
Malignant proliferation of plasma cells (B cells) and tumors within the bone. Abnormal plasma cells produce Bence Joes protein that is found in blood and urine.
Multiple myeloma
Medication indicated for Acute leukemia (ALL), lymphoma, Most solid tumors
Doxorubin
Cisplatin is administered via
IV with Mannitol
medication Indicated for testicular, ovarian
Cisplatin
Cisplatin nursing implications
Irritant vessicant, hydrate well before and after
Velban, common side effect
constipation
Indicated for Hodkins, non-Hodgkins, testicular cancer, Kaposi Sarcoma
Velban
Methotrexate, important side effects
Renal Failure
Indicated for Leukemia, Lymphoma, Osteosarcoma
Methotrexate
Methotrexate nursing implications (5 things)
Must inform HCP vitamin usage by patient Stay out of direct sunlight and wear sunscreen Hydration with Sodium Bicarbonate Check urine pH stomatitis
Indicated for Decreasing incidence of infection, febrile neutropenia
Pegfilgrastin
Indications: Chemotherapy associated febrile neutropenia in clients with non myeloid malignancy
Neupogen
Indications: ESRD, dialysis, cancer related anemia
Erythropoietin
Alopecia: Hair will regrow when
therapy ends
Leukopenia: do not have these things at the bedside
fresh fruit, plants, or flowers
Leukopenia: Avoid use of drugs containing
aspirin
Leukopenia: air should be
humidified
How do you use an antiemetic
give it 30 min before meals
How do you deal with Stomatitis
Continue brushing regularly; use soft toothbrush
Use nonirritant mouthwash
Avoid irritants to the mouth spices, alcohol
common electrolyte problem with cancer
hypercalcemia
hypercalcemia tx: stop using ____ diuretics
thiazide diuretics
hypercalcemia tx: Intravenous ____ if diagnosis of myeloma or lymphoma
corticosteroids
hypercalcemia tx: Rehydration with
Normal Saline or PO fluids
In DIC, the PT would be
prolonged (because all the factors were used up so now it takes longer to clot)
DIC: avoid activities that increase
ICP
DIC: avoid clothing that is
constricting
Percussion tenderness at the level of compression
Hyperactive reflexes
Positive Babinski signs
Bilateral sensory loss
Spinal Cord Compression by a tumor
Best diagnostic tool for spinal cord compression
MRI
spinal cord compression tx that is reserved for patients with progressive neurologic decline during or after radiation therapy, or with spinal instability or bone fragments contributing to pain or neurologic findings
Laminectomy
spinal cord compression: monitor serum ___ level
calcium
Tumor Lysis Syndrome: Associated with treatment of
non-Hodkin’s lymphoma and acute or chronic leukemia
Tumor Lysis Syndrome: associated with solid tumors such as
breast carcinoma, small lung cell
Tumor Lysis Syndrome: Associated with agents that have potent cytotoxic activity:
tamoxifen, rituximab
Tumor Lysis Syndrome: Treat with prophylactically with A____
Allopurinol
Tumor Lysis Syndrome: ____ should not be administered unless there is evidence of neuromuscular irritability such as a positive Chvostek or Trousseau
Calcium
Superior Vena Cava Syndrome: ____ is the most common presenting symptom
Dyspnea
Superior Vena Cava Syndrome tx:
Thrombolytics
Stent
Chemo/radiation
Corticosteroids/diuretics
