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T3 SYSTEMS > Cancer Class 5 - Chemotherapy & Massage Therapy > Flashcards

Cancer Class 5 - Chemotherapy & Massage Therapy Flashcards

1
Q

A form of cancer treatment in which chemical agents are being circulated in the systemic bloodstream in order to kill cancer cells.

A

Chemotherapy

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2
Q

T/F - Every cell in the body will be exposed to the chemicals involved in chemotherapy.

A

True

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3
Q

Chemotherapy is extremely _____ and has long term effects on patients who undergo it.

A

Toxic

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4
Q

T/F - Chemotherapy does not interfere with DNA synthesis or scramble RNA like radiation therapy.

A

False - Chemotherapy DOES interfere with DNA synthesis AND scramble RNA like radiation therapy.

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5
Q

____________ agents may be delivered in a variety of ways:
- Orally
- Intramuscularly
- Subcutaneously
- Intravenously
- Intrathecally

A

Chemotherapy

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6
Q

T/F - The type of chemotherapy has nothing to do with the type of cancer the patient has.

A

False - The type of chemotherapy has EVERYTHING to do with the type of cancer the patient has.

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7
Q

_______ reproducing cells, such as epithelium, endothelium and mucus membranes, will be most effected by chemotherapy in the _____ term.

A

Rapidly
Short

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8
Q

T/F - Most chemotherapy drugs are general agents/broad spectrum drugs in combination.

A

True

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9
Q

Some uses of ____________ include:
- For metastatic cancer
- As a primary treatment
- For neoadjuvant/preoperative purposes
- For palliative reasons

A

Chemotherapy

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10
Q

__________ cancer has the ability to move from one place to another, therefore ____________ is likely used first for treatment.

A

Metastatic
Chemotherapy

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11
Q

Chemotherapy is the _______ treatment for blood cancers, such as lymphoma.

A

Primary

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12
Q

___________ chemotherapy is used prior to surgery to reduce the size of tumours in the body.

A

Neoadjuvant

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13
Q

__________ chemotherapy can help make a patient’s life a little more comfortable.

A

Palliative

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14
Q

Since chemotherapy depletes the _____ and causes them to collapse and bruise, typically a 1 inch incision will be made just below the clavicle where a ____ can be inserted and connected to the subclavian vein.

A

Veins
Port

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15
Q

Chemotherapy _____ are button shaped and sit under the skin where they are completely concealed. It serves as a ______ receptacle for the chemotherapy drugs to be injected into.

A

Ports
Stable

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16
Q

A ________ will link the chemotherapy port to the venous system, leading to the heart.

A

Catheter

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17
Q

T/F - After implantation surgery of a port, massage therapists need to evaluate the incision and abide by the 4 inch avoidance rule.

A

True

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18
Q

After __ to ___ days post-surgery regarding chemotherapy ports, there are no specific local contraindications to treating this area.

A

7-10 days

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19
Q

Chemotherapy is usually given in ______, typically once every 3 weeks. The infusion site is at the ________ and it is recommended that the patient has a “chemo _____.”

A

Cycles
Hospital
Buddy

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20
Q

Administering chemo drugs can take from 5 minutes to __ or more hours.

A

8 or more hours

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21
Q

T/F - A nurse cannot delay chemotherapy or do a blood transfusion if the blood counts are poor prior to treatment because a strict schedule must be upheld.

A

False - A nurse CAN delay chemotherapy or do a blood transfusion if the blood counts are poor prior to treatment.

22
Q

Nausea, debilitation, pain and fatigue are all potential side effects from ____________.

A

Chemotherapy

23
Q

“____ stroke massage” is effective for patients who are feeling ________ and anxious as they anticipate their chemotherapy treatments.

A

Slow
Nauseous

24
Q

Chemotherapy irritates the _______ lining and causes gastrointestinal issues, such as ________.

A

Stomach
Diarrhea

25
Q

T/F - Drugs that diminish nausea cannot cause diarrhea in chemo patients.

A

False - Drugs that diminish nausea CAN cause diarrhea in chemo patients.

26
Q

_______ is a very common side effect of chemotherapy resulting from anemia. Most people will have a poor ________, which contributes to lower energy levels.

A

Fatigue
Appetite

27
Q

T/F - Chemotherapy drugs have no effect on the thermoregulatory system, as patients will never feel cold.

A

False - Chemotherapy drugs have AN EFFECT on the thermoregulatory system, as patients will OFTEN feel cold.

28
Q

An unpleasant effect of chemotherapy would be the patient complaining of a ________ taste in their mouth.

A

Metallic

29
Q

T/F - Anorexia and digestive distress are potential side effects of chemotherapy.

A

True

30
Q

At least 50% of people going through the “cancer year” will experience symptoms of _______ and __________, even if they haven’t identified with it prior.

A

Anxiety
Depression

31
Q

_______ anxiety and depression results from the direct effect of chemical agents on the brain’s cognition. Often referred to as “chemo brain.”

A

Primary

32
Q

T/F - Primary anxiety and depression is irreversible.

A

False - Primary anxiety and depression is REVERSIBLE.

33
Q

_________ anxiety and depression results from having to deal with the long process of chemotherapy.

A

Secondary

34
Q

T/F - If someone has toxic elements/chemicals circulating in the bloodstream, it is not possible for the massage therapist to promote over metabolization and make the patient feel more sick.

A

False - If someone has toxic elements/chemicals circulating in the bloodstream, it IS possible for the massage therapist to promote over metabolization and make the patient feel more sick.

35
Q

Massage therapists should wait 2 to 3 days after chemotherapy before considering any ___________ massage.

A

Circulatory

36
Q

_________ of skin and blood vessels is heavily impacted by chemotherapy. Even though the skin can become very ____, massage is not fully contraindicated, but techniques should be modified.

A

Fragility
Thin

37
Q

Tiny broken blood vessels that are not usually painful.

A

Petechiae

38
Q

There is potential for altered ________ phenomena with chemotherapy, therefore it is important to ask about the risk of hemorrhage or thrombus.

A

Clotting

39
Q

T/F - Chemotherapy patients can bruise a lot easier depending on the chemical mixture they are recieving.

A

True

40
Q

With chemotherapy, there is a cycle of illness and ________. Typically the patient will feel worse after each round.

A

Recovery

41
Q

The average life span of a ___ blood cell is 90 to 120 days. There will be a drop in blood cell count around the ______ time frame of chemotherapy treatments.

A

Red
Middle

42
Q

Some symptoms of ______, associated with decreased RBCs include:
- Decreased BP
- Lethargy/fatigue
- Dyspnea (SOB)
- Weakness (muscle atrophy)
- Rapid HR (palpitations)
- Dizziness/lightheadedness (orthostatic hypotension)
- Headaches
- Tinnitus
- Decreased temperature regulation (feeling cold)
- Increased tissue fragility
- Poor tissue recovery
- Decreased perfusion

A

Anemia

43
Q

Some clinical concerns with ______, associated with decreased RBCs include:
- Modify pressure (e.g. tissue fragility, poor perfusion)
- Blood pressure (e.g. get up slowly, positioning)
- Warmth (e.g. extra blanket, thermophore, warmer treatment environment)

A

Anemia

44
Q

During chemotherapy, there is a decrease in white blood cells leading to impaired ______ response, vulnerability to common “bugs,” along with altered ____________ and repair responses.

A

Immune
Inflammatory

45
Q

T/F - It is important for massage therapists to stay on top of blood work, health/hygiene practices, and be cautious when using tissue altering work.

A

True

46
Q

Decreased _________ leads to thrombocytopenia.

A

Platelets

47
Q

T/F - Chemotherapy can only cause short term stress to vital organ systems, such as the liver and heart.

A

False - Chemotherapy can cause BOTH short term AND LONG TERM stress to vital organ systems, such as the liver and heart.

48
Q

Chemotherapy can contribute to ________ changes in the body, as it can effect the patient’s mood and even quality of sperm/ovum.

A

Hormonal

49
Q

_________ changes are present with chemotherapy, as synovial joints become “little pockets of toxicity” overtime leading to inflammation, swelling and pain.

A

Arthritic

50
Q

T/F - Chemotherapy affects the nervous system and typically nerve endings in the periphery become more sensitive.

A

True

T3 SYSTEMS (27 decks)

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