brain tumors in children Flashcards
what terms are not used in pediatric brain tumors
benign/malignant
prognosis
poor
neuroblastoma
8-10 % of childhood cancer
brain tumors are the
second most common cancer in childhood
names of tumor
based on location- can determine the type of tissue being affected
signs and symptoms of a tumor
related to the anatomical structure and placement in the brain
dx
definitively made during biopsy
LPs can be dangerous why?
can cause and increase in icp
trx depends on type of tumor
surgery, radiation, chemo- must cross blood brain barrier
radiation is not recommend in children under
3 years old
nursing management of tumors in children
prepare the child and family changes in vs head circumference cushings triad physical ability/ inability draw a c/s after LPs supports the child and family assessment based on pt status neuro checks LOC- lethargy and irrability pupillary reactions response to stimuli sleep patterns avoid trendelinburg deterioration GCS subjective judgment positioning the child is not placed on the operative side avoid activities that cause ICP suctioning minimize stimuli
irritability is a sign of
increased intracranial pressure
nutrition and hydration
child should be fed to conserve energy to prevent aspiration and choking
IV administration untill oral is tolerated
enteral nutrition when body functions are depressed and if child is unable to eat or drink
NG or GT tube
patient may still continue to risk of aspiration
nursing care
elimination
hygienic care
position and exercise
hearing impairment and regaining consciousness
what is a neuroblastoma
most common malignant extracranial solid tumor of childhood
majority of tumors develop in the adrenal gland or retroperitoneal sympathetic chain
head, neck, chest, pelvis
early detection is important
