Cancer Review* Flashcards
1
Q
With ___ may see compression of right subclavian leading to false diagnosis cardiac arrest = make sure you put pulse ox and a-line on the LEFT SIDE.
Also may have bradycardia d/t stretch of vagus or trachea, have atropine ready!
**Concern for?
A
Mediastinoscopy (lung cancer)
**pneumothorax
2
Q
With lung cancer:
- Preop give opioids for pain
- AVOID (2)
- Use ___ good for bronchodilation
- Manage postop pain with?
A
- N2O (risk for pneumo) and histamine releasing drugs
- inhaled agents
- thoracic epidural
3
Q
- *Breast cancer with lumpectomy for managing airway typically use?
- *Colon/GI Cancer with laparotomy and laparoscopic procedures (colon/GI cancer) can manage case with either (2)…however will typically use general because patient does not tolerate position changes well. With ETT (induction) consider possible ___, if this is the case will need to do ___.
- With endoscopy and performing GA-TIVA using ___.
- Avoid?
- anemia need to lower MAC, MRs with retractors!!!
A
- LMA (make sure no full stomach/aspiration risk!)
- general or regional-epidural
- RSI (ascites!!)
- AWAKE extubation
- propofol infusion
- N2O
4
Q
With all indicated procedures for this type of cancer - anesthetic technique will always be either GA or regional (spinal/epidural)?
-With general going to use?
A
Prostate Cancer (open, laser, TURP)
- ETT or LMA
- **0.9 NaCl infusion if hyponatremia seen with TURP and careful with fluid overload
5
Q
Head and Neck Cancer:
- Avoid ___ with dissection surgeon needs to assess the nerves!
- If impaired ROM and mouth opening going to use?
- If tracheal compression is a concern, avoid?
- If extubation is planned, concern for?
- Risk for carotid compression or laceration causing bradycardia or hemorrhage
A
- NMBs
- Fiberoptic
- NMBs
- Laryngospasm
6
Q
PONV is a huge concern! Provide reassurance and use antiemetics (3)
A
zofran
phenergan
droperidol
7
Q
- Recurrent venous thrombosis often seen with?
- Pericardial tamponade most common with?
A
- Pancreatic cancer
- Lung cancer
