Cancer Chronic Flashcards
Collaborative care control phase
Management phase during the cancer treatment
palliative care
comfort and control of symptoms
examples of palliative care given for cancer
feeding tube, surgery, infusions (RBC, platelets, etc)
Independent ( no orders) nursing care for palliative care
healing touch, massage, positioning.
Immunotherapy / biologiccal response modifiers are
How is Radiation therapy used and most common type of treatment
high energy x rays to destroy cancer. most common type is external therapy (tele-theraphy)
example of hormone therapy
Tamoxifen is a estrogen blocker for breast cancer.
HER2 positive means that the tumor feeds off of estrogen so we need to block the nutrients from letting cancer grow
can tumors secrete their own hormones?
yes
What is the treatment for cancer pts who’s tumors secrete their own hormones
block the hormones being secreted and base cancer treatment around that
antineoplactic medicine
aka chemotherapy: cytotoxic medicine that kills all cells
today we use both chemotherapy and targeted therapy
What is the most important goal as a nurse with cancer patients
Education about the treatment and options
chemotherapy rescue medication
given within 30 minutes to 24 hours to detox the body from the chemo med
Ifofphamide - and mesna (mesna is a rescue drug that prevents hemastastitis or urinary hemorrhage that is caused by Ifofphamide)
What is a rescue drug
a drug that prevent a severe side effects of chemotherapy (antineoplastic therapy)… Usually aggressive chemotherapy
CSF colony stimulating factor drug*
stimulating proliferation of WBC
What does clean lines mean when it comes to surgical removal of a tumor
“they got it all” and the tumor is no longer there
why do we use a combination of chemotherapy?
given a combo to treat more
cytoprotectants are also known as
rescue drugs
routes of chemotherapy
PO (pill), Cavity (spinal, bladder, parenteral, IM, subq)
PPE for nurses
leak and spill proof scrubs (blue) for getting drugs
double glove whenever around chemo meds
goggles
chemo precautions to teach patient
most concentrated in urine and poop, but can be found in sweat and saliva.
flush twice with chucks
side effects of chemo
What is ANC
absolute neutrophil count
- important for measuring mature White blood count and how well they will be able to fight off infections
ANC equation
(%segmented + %bands) X total WBC
Find the % of s and B cells of the total count
Segmented cells and band cells - are one away from fully mature neutrophils
nurses give a shit when its <1000 for neutropenic precautions (bubble boy)
Extravasation
tissue loss because they let it leak into the tissues!!!!
vesicant
agents that cause blistering
Naidir
lowest point of their wbc, rbc, platelet count during treatment
Complications of stem cell transplants
cytolomegalo virus (CMV) attack the eyes
Graft-vs-host disease
Failure to graft
Graft versus Host disease
Body recognizes stem cells and attack them: gut skin, liver, intestines are usually affected
primary goal for someone with immunosuppression therapy
Free of infections
goals for immunosupression
neutrophils and put them on neutropenic precautions (no fresh fruit or flowers, reverse isolation) administering CSF,
priority interventions for thrombocytopenia
Prevent bleeding. DO NOT GIVE VACCINES.
Priority goals for thrombocytopenia
Monitor for falls
signs of bleeding
bleeding from nose, in the poop, in the urine, and obviously fucking bruises
priority interventions for a client with stomatitis, mucositis and or esophagitis
oral hygiene, soft toothbrush, viscus lidocaine, use of straws, avoid alcohol based Listerine, soft foods, micastatin (antifungal oral wash)
priority interventions for a client with stomatitis, mucositis and or esophagitis
oral hygiene, soft toothbrush, viscus lidocaine, use of straws, avoid alcohol based Listerine, soft foods, micastatin (antifungal oral wash)
cancer related anorexia-cachexia syndrome interventions for nursing
Weight maintenance, frequent small meals, medical marijuana, give them what tastes good, avoid unpleasant sights
What are independent nursing techniques (orders) for cancer related pain and fatiuge
cluster care, pain management, PCA pump
What kind of cancer is acute myeloid leukemia?
What does it cause?
Blood and bone marrow cancer comes from bone marrow.
Low RBC, WBC, and platelets
Is lymph node enlargement painful in Hodgkin lymphoma?
No
Absorption of oral iron will be impaired by what foods?
Coffee, tea, eggs and milk
Multiple myeloma laboratory findings
Increase in serum protein, hypercalcemia, hyperuricemia, and protein in urine, anemia
What interventions should nurse give someone with caregiver strain for cancer
- Educate family on meds
(Family members benefit from Increased education what to expect) - Allow them to express feelings
- Suggest support for household maintenance
Early a symptom of Hodgkin’s lymphoma
Cervical or neck - non painful lymph enlargement
