Chapter 15: Nutrition Management of the Pediatric Oncology Patient Flashcards
1
Q
Rank the childhood cancers from most common to least
A
leukemia - 34% brain/nervous system - 27% neuroblastoma - 7% wilms tumor - 5% lymphoma (Hodgkin and Nonhodgkin) - 4% and 4% Rhabdomyosarcoma - 3% Retinoblastoma - 3% Bone (Osteosarcoma, Ewing Sarcoma) - 3% and 1%
2
Q
WHO method for diagnosing Malnutrition
A
Height for age z scores between -2 and -3 —- moderate stunting
Height for age z scores
3
Q
What peds cancers are high nutrition risks?
A
Wilms Tumor (stage III or IV) Neuroblastoma (stage III or IV) metastatic solid tumors Non-hodgkin lymphoma (stage III or IV) Acute myelogenous leukemia and chronic myelogenous leukemia (new or relapsed) Medulloblastoma and other brain tumors
4
Q
What cancers are low nutrition risks?
A
Acute lymphocytic leukemia and good prognosis
Non-metastatic solid tumors
advanced diseases in remission during maintenance treatment
5
Q
Who should be assessed within 24 hours? How often should they be reassessed?
A
Nutrition support patients
Initial hematopoietic stem cell transplant
weight loss of 3-5% in past month
min 1-2 times/week
6
Q
Who should be assessed within 72 hours? How often should they be reassessed?
A
NPO > 3 days non-chemo N/V/D Mucositis/oral aversion/feeding issues Modified diet New Diagnosis
min once weekly
