Cancer Flashcards
SCIDS
severe combined immunodeficiency disease
Absence of humoral and cell mediated immunity
treatment for SCIDS
IV. I G.
Sterile environment
Bone marrow transplant
Aids transmission in kids
not exposed to as much illness, decreased protection/immunity
Unprotected sex
Maternal breast milk, perinatal, blood transfer
when can HIV be detected in children?
PCR greater than one month old
Treatment for HIV in children
Antiretroviral therapy
Antibiotics, prophylaxis
Modified vaccine schedule
nursing care for HIV
Increased protein, calories, supplements
Safe sex
Don’t share needles
Universal precautions
what age groups are more common for HIV
Adolescence – risky behavior
Newborn - perinatal
neuroblastoma sx
Headache
Vomiting
Unsteady gait
Seizures
Head tilt
Postop nursing care for neuroblastoma
keep head midline
Decrease ICP
NPO
Eyecare
which type of lymphoma has Reed Steinberg cells
Hodgkin’s lymphoma
rhabdomyosarcoma
Vague symptoms
Involves head, neck, do you, extremities
Often diagnosed late
wilms tumor
Neoplasm of kidney
Encapsulated
Priority, nursing care with Wilms tumor
handle and bathe carefully to avoid rupture
No more palpation once suspected
retinoblastoma
Retinal cell tumor
Cat’s-eye reflex
Retinoblastoma treatment care
sibling screening – Q1-3 weeks
Try to preserve unaffected eye
Large pressure dressing
Safety glasses
leukemia
Stem cells in bone marrow produce immature, WBC
Anemia, thrombocytopenia, neutropenia
sx leukemia
Fever
Bleeding tendencies
Lethargy
Petechiae
Frank blood
Fatigue
T/F chemo crosses the blood brain barrier
False
Needs lumbar puncture, intrathecal IV chemo to reach the brain
what are expected adverse effects from chemo?
Nausea, vomiting
Alopecia
Oral mucositis
Myelosuppression
Risk of infection
Nursing interventions for stomatitis
use antifungal/antibiotic, mouthwash
Rinse with normal saline
Magic, mouthwash
Food such as milkshakes
hemorrhagic cystitis
Emergency
Blood in urine, bladder pain
what medication is used to treat hemorrhagic cystitis
Mesna
Encourage fluids !!
tumor lysis syndrome
Tumor cell destruction, leading to high levels of uric acid, potassium, phosphorus in blood
treatment for tumor lysis syndrome
Allopurinol
Hydration !!
I/O, Daily weight, PH, urine SPG
what type of vaccines are contraindicated less than three months after Chemo stopped
Live vaccines
what type of vaccines can be taken two weeks before/during chemo?
Inactivated
what type of activity should be avoided with osteogenic sarcoma and Ewing sarcoma?
Weight-bearing
Active play
