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aa Orgo > 4092 8 Cancer > Flashcards

4092 8 Cancer Flashcards

1
Q

Prostate CA: ____ metastasis is a concern

A

Bone

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2
Q

Prostate CA: ___ growing

A

Slow growing

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3
Q

Breast CA: Classified as invasive when it

A

penetrates the tissue surrounding the mammary gland

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4
Q

Malignant exacerbation in # of wbc, usually immature. Affects bone marrow

A

Leukemia

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5
Q

Malignancy of lymph node or a single chain of nodes-usually lymph nodes, tonsils, spleen and bone marrow

A

Lymphoma

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6
Q

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.

A

Multiple myeloma

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7
Q

Medication indicated for Acute leukemia (ALL), lymphoma, Most solid tumors

A

Doxorubin

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8
Q

Cisplatin is administered via

A

IV with Mannitol

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9
Q

medication Indicated for testicular, ovarian

A

Cisplatin

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10
Q

Cisplatin nursing implications

A

Irritant vessicant, hydrate well before and after

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11
Q

Velban, common side effect

A

constipation

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12
Q

Indicated for Hodkins, non-Hodgkins, testicular cancer, Kaposi Sarcoma

A

Velban

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13
Q

Methotrexate, important side effects

A

Renal Failure

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14
Q

Indicated for Leukemia, Lymphoma, Osteosarcoma

A

Methotrexate

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15
Q

Methotrexate nursing implications (5 things)

A 
Must inform HCP vitamin usage by patient
Stay out of direct sunlight and wear sunscreen
Hydration with Sodium Bicarbonate
Check urine pH
stomatitis
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16
Q

Indicated for Decreasing incidence of infection, febrile neutropenia

A

Pegfilgrastin

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17
Q

Indications: Chemotherapy associated febrile neutropenia in clients with non myeloid malignancy

A

Neupogen

18
Q

Indications: ESRD, dialysis, cancer related anemia

A

Erythropoietin

19
Q

Alopecia: Hair will regrow when

A

therapy ends

20
Q

Leukopenia: do not have these things at the bedside

A

fresh fruit, plants, or flowers

21
Q

Leukopenia: Avoid use of drugs containing

A

aspirin

22
Q

Leukopenia: air should be

A

humidified

23
Q

How do you use an antiemetic

A

give it 30 min before meals

24
Q

How do you deal with Stomatitis

A

Continue brushing regularly; use soft toothbrush
Use nonirritant mouthwash
Avoid irritants to the mouth spices, alcohol

25
Q

common electrolyte problem with cancer

A

hypercalcemia

26
Q

hypercalcemia tx: stop using ____ diuretics

A

thiazide diuretics

27
Q

hypercalcemia tx: Intravenous ____ if diagnosis of myeloma or lymphoma

A

corticosteroids

28
Q

hypercalcemia tx: Rehydration with

A

Normal Saline or PO fluids

29
Q

In DIC, the PT would be

A

prolonged (because all the factors were used up so now it takes longer to clot)

30
Q

DIC: avoid activities that increase

A

ICP

31
Q

DIC: avoid clothing that is

A

constricting

32
Q

Percussion tenderness at the level of compression
Hyperactive reflexes
Positive Babinski signs
Bilateral sensory loss

A

Spinal Cord Compression by a tumor

33
Q

Best diagnostic tool for spinal cord compression

A

MRI

34
Q

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

A

Laminectomy

35
Q

spinal cord compression: monitor serum ___ level

A

calcium

36
Q

Tumor Lysis Syndrome: Associated with treatment of

A

non-Hodkin’s lymphoma and acute or chronic leukemia

37
Q

Tumor Lysis Syndrome: associated with solid tumors such as

A

breast carcinoma, small lung cell

38
Q

Tumor Lysis Syndrome: Associated with agents that have potent cytotoxic activity:

A

tamoxifen, rituximab

39
Q

Tumor Lysis Syndrome: Treat with prophylactically with A____

A

Allopurinol

40
Q

Tumor Lysis Syndrome: ____ should not be administered unless there is evidence of neuromuscular irritability such as a positive Chvostek or Trousseau

A

Calcium

41
Q

Superior Vena Cava Syndrome: ____ is the most common presenting symptom

A

Dyspnea

42
Q

Superior Vena Cava Syndrome tx:

A

Thrombolytics
Stent
Chemo/radiation
Corticosteroids/diuretics

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