Care of patients with cancer Flashcards
Radiation Care
water temp?
Ice?
warm temp
no ice
Which specific bone structures, if radiatiated, cause fractures?
iliac crest/sternum (sites with bone marrow
most important intervention for chemotherapy?
prevent extravastion
when does hypersensitivity to chemo occur?
15-30 min
What does extravasation look like?
no blood return on IV
resistance of flow
burning, pain, swelling, redness
vs hypersensitivity will itch and flare (same: swelling and redness)
intervention for extravasation?
cold/warm compress
discontinue
aspirate
apply antidote
how often do you assess pt undergoing chemo?
Q 8
how often does a chemo patient need hygiene?
Q12 *important
early s/s of decreased platelet levels
petechiae - purple blood vessels
ecchymosis - discolored from bleeding underneath
precaution for patient receiving oxaliplatin
avoid cold fluids or temperature extremes
SE of hormonal manipulation (for CA tx)
opposite sexual phenotype appearance venous thromboembolism acne hypercalcemia - weakens bones liver dysfunction
how does targeted therapy work?
blocks signal for turning on cell division genes
if pt is hemorrhaging ___ is tx
cryoprecipitate clotting factors
s/s of mild SIADH
weakness, muscle cramps, loss of appetite, fatigue
s/s of SIADH after sodium levels drop below 110
seizures, coma and death
how often should you monitor for s/s of fluid overload in SIaDH
Q2
immunotherapy: interleukins
charge up/stimulate immune system (cause inflammation)
immunotherapy: interferons
slow down tumor cell division
immunotherapy: thalidomide
reduce tumor angiogenesis (blood vessel development) factor aka reduces the spread
SE of immunotherapy
generalized/severe inflammatory read fluid retention fever peripheral neuropathy skin problems
early s/s of spinal cord compression
located in the periphery
nursing interventions for hypercalcemia
increase water intake (flushes calcium out)
maintain calcium intake w/o restrictions
s/s of Superior vena cava syndrome
early = facial edema (esp. around the eyes)
and stroke sign inflammation of the throat (tightness around collar of a shirt)
very aggressive kind of lung cancer, worst kind
small cell lung cancer
right sided colon lesions cause what s/s
dull abdominal pain
melena - (black stool)
left sided colon lesions cause what s/s
intestinal obstruction (fecal oozing, pain, distension) bright red blood
most common type of tumor
meningioma
which types of brain tumors should u get removed since they affect functioning
glioma
meningiomas
most helpful diagnostic tool for brain tumor
MRI
