Chapter 23 Ovarian Ca Flashcards
Complete resection of primary tumor improves survival in ovarian cancer patients and is the most important intervention
true
Intestinal surgery may be needed in what percentage of ovarian ca cases
20-50%
what is the standard of care following surgery for ovarian ca patients
platinum based chemo (either IV or intraperitoneal which is more effective but has more NIS)
What might you give someone with ovarian cancer and diarrhea
metamucil 2 tsp daily, probiotic with lactobacillus, bifidobacterium, streptococcus - research done on chemo has not been proven in radiation but would make sense
What common side effect of ovarian cancer can skew nutrition assessment
ascites
What is recommended for malnourished pts about to undergo anticancer treatment
EN or PN 7-14 days prior (could benefit from 1-3 days)
MBO tx
conservative- ng to suction, aggressive- sx but not indicated if life expectancy <4 months will be conservative.
Ng to suction not comfortable replaced with g tube for drainage and decompression
Should PN be used in advanced disease?
performance status may indicate whether or not to use, info is conflicting
