Cancer

Question 1

pulm cancer:
Squamous- 
Adenocarcinoma- 
Large cell-
Small cell-

Answer 1

High ca
OA/clotting
Gynecomastia
SIADH/eaton lambert

Question 2

Cardiac toxic cancer drugs

Answer 2

Doxo/daunorubicin

Question 3

Pulm toxic cancer drugs

Answer 3

Methotrexate (edema) bleomycin (hyperoxic injury)

Question 4

Most common cancer in men and women, 2nd most common. 2nd highest cause of death

Answer 4

Breast/prostate. Then lung. Colon/gi death

Question 5

Endocrine fx lung cancer

Answer 5

Small cell, some have cushings appearance, 60% have SIADH

Question 6

Breast cancer, inc risk of what

Answer 6

DVT, PE, stroke. Temp disturbances. All d/t tamoxifen

Question 7

Anesthesia for lung cx: bronchial, open lung bx, thoracotomy

Answer 7

General (TIVA) or sedation. Others: general

Question 8

Breast cancer anesthesia for: bx, lump/mastectomy/node dissection/radical mastectomy

Answer 8

Loca w sedation or general. General for last 3

Question 9

Colon gi cx anesthesia for: dx endoscopy, laparotomy, laparoscopic

Answer 9

Sedation or GA (TIVA). General/regional- epidural for second 2

Question 10

Anesthesia for prostate cx: open, Laser, turp

Answer 10

General or regional (spinal or epidural)

Question 11

Anesthesia for head and neck cancer: diagnostic fiberoptic/mediastinoscopy, bx, dissection

Answer 11

General. Local w sedation or general. General.

Question 12

Airway for breast Cx: bx, lumpectomy, mastectomy

Answer 12

NC 02/Chin lift. LMA. ETT

Question 13

Lung cx a/w for: mediastinoscopy, bronch, open bx, thoracotomy

Answer 13

ETT. Nc/chin lift for bronch. General. General- double lumen ett

Question 14

Colon/gi cx a/w for: endoscopy, laparotomy

Answer 14

NC/chin lift. ETT- may be RSI. If laparotomy w/epidural just nC

Question 15

Prostate cx a/w: turp, regional

Answer 15

LMA or ETT. NC

Question 16

A/w for head and neck cx:

Answer 16

Jet vent. No NMB for dissection. General: oral or nasal dep on surgery, may be fiberoptic, tube extensions, armored tube

Question 17

One lung vent: what to which lung

Answer 17

Peep on up lung, cpap on down lung

Question 18

Lung cx concern w mediastinoscopy

Answer 18

Scope may compress r subclavian and lose pulse, false dx arrest. Put p ox and a line on left. Vagus stretch may dec hr

Question 19

Concern circulation for colon and gi cx

Answer 19

Bowel prep- low vol and bp, hi hr. If ascites low albumin

Question 20

Prostate cx circulation concerns

Answer 20

Turp irrigation leads to vol overload, dilutional hyponatremia

Question 21

Head and neck cx circulation concerns

Answer 21

Carotid compression leads to bradycardia. Laceration- hemorrhage. May have a line

Question 22

Lung cx drugs

Answer 22

Avoid resp dep w pre meds. Bronchodilators. Avoid n20/histamine releasers. Epidural before induction for pain

Question 23

Colon gi cx drug consid

Answer 23

Avoid drugs that cause low bp/dec doses. Avoid n20. Lower dose of pb drugs if low protein labs. Lower mac if anemic. No reglan if obstruc. Muscle relax needed in laparotomy

Question 24

Head and neck cx: avoid which drugs

Answer 24

No NMB if assessing nerve func

Question 25

Prostate cx fluids

Answer 25

Give normal saline, check na levels, avoid high vol