ACE Review - Oncology

Question 1

breast ca. what metabolic disorder is seen

Answer 1

if there is mets, usually there is hypercalcemia

Question 2

breast ca. what is considered hypercalcemic crisis

Answer 2

if ca is above 14 and symptomatic

Question 3

breast ca. what are the gi symptoms of hyercalcemia

Answer 3

nausea and vomiting»>volume contraction

Question 4

breast ca. what are the neuro signs of hypercalcemia

Answer 4

altered mentation,

Question 5

breast ca. what is seen with muscular symptoms of hypercalcemia

Answer 5

muscle weakness, hyper-reflexia and fasiculations

Question 6

breast ca. what is seen with hypercalcemia hemodynamics

Answer 6

hypertension and bradycardia

Question 7

breast ca. what is seen with renal symptoms of hypercalcemia

Answer 7

polyuria polydipsia noturia…volume contraction

Question 8

breast ca. what is the volume status when hypercalcemia is present

Answer 8

hypovolemia

Question 9

breast ca. what is usually given to pts when hypercalcemia and hypovolemia

Answer 9

ivf…albumine if pt is hypo-protien, hypoalbumin…the ivf will help dilute the hypercalcemia and replace volume loss

Question 10

breast ca. does albumin work to help with hypercalcemia

Answer 10

yes..protiens are binders of calcium and helps relieve the ionized calcium load

Question 11

breast ca. what infusion may help in hypercalcemia

Answer 11

phosphate infusion as it may chelate calcium

Question 12

breast ca. when is phosphate infusion useful in treatment of hypercalcemia

Answer 12

in acute settings…when sudden change in mental status such as coma

Question 13

breast ca. what are risks assoc with phosphate infusion when treating hypercalcemia

Answer 13

it may cause renal stones or vascular obstruciton

Question 14

breast ca. what is the sodium metabolic derrangement seen

Answer 14

SIADH

Question 15

breat ca. what is seen for the sodium levels.

Answer 15

hyponatremia Na<280

Question 16

breast ca. what is seen in the urine

Answer 16

elevated sodium >30 and high osmolality > 200 aka siadh

Question 17

breast ca. can the symptoms tell you anything about the sodium

Answer 17

coma pt usually have a sodium level less than 105