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CSO exam > CSO exam > Flashcards

CSO exam Flashcards

1
Q

velcade
bleomycin
Avastin
Erbitux

A

no green tea

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2
Q

xeloda

A

give B6 for hand/foot

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3
Q

tagretin

A

no grapefruit

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4
Q

exjade

A

contains lactose

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5
Q

sprycell
Tarceva
Affinitor

A

no St. John’s Wort, No grapefruit

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6
Q

5FU

A

give B6 for hand foot

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7
Q

methotrexate

A

no folic acid, no ETOH

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8
Q

Alimta

A

Add Folic Acid and B12

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9
Q

Mutulane

A

no tyramine foods

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10
Q

Zometa

A

Give 500mg Calcium and 400 IU Vit D

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11
Q

Mercaptopurine

A

avoid dairy at same time

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12
Q

Nexavar

A

No St. John Wort

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13
Q

Tasigna

A

no grapefruit, contains lactose

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14
Q

Metallic taste

A

cisplatin, etoposide, vinblastine

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15
Q

Antimetabolites

A

Cell cycle Specific

5FU, Methotrexate, ARA C, Gemzar, Xeloda

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16
Q

Gerson Therapy

A

Mostly juiced vegetables

Includes supplements and frequent enemas

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17
Q

Budwig Diet

A

flaxseed oil + cottage cheese (quark) 2 times a day
Avoid dairy and complete protein sources
No supplements rec
Essiac tea and red wine

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18
Q

Alkaline diet

A

Restricts red meat, sugar, flour coffee ETOH

May need Calcium and Vit D

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19
Q

Livingston Wheeler

A

Vegetarian but also get vaccine made from own blood or urine

Pts strongly advised to avoid

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20
Q

Gonzalez Regimen

A

Metabolic tx
varies according to individual
rec large dose of vitamins/minerals and animal glandular products

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21
Q

Macrobiotic Diet

A

Avoid all meat, dairy, eggs and processed sweeteners

Can meet requirements when carefully planned

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22
Q

Omega 3 fats

A

may reduce toxicity of irinotecan and paclitaxel
may enhance clinical benefit of Adriamycin, cisplatin and vincristine
may cause bleeding >4 grams a day

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23
Q

Quercetin

A

anti inflammatory effects

may decrease bioavailability of iron

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24
Q

melatonin

A

may improve response in women on tamoxifen w/ mets

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25
Q

Co Q 10

A

may reduce renal and cardiotoxicities of adriamycin but no dose identified

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26
Q

black cohosh

A

may interfere with tamoxifen

may be toxic to liver

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27
Q

SERM

A

selective estrogen receptor modulators

tamoxifen, fareston, evista

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28
Q

Aromatase Inhibitors

A

Arimidex, Femara, Aromasin

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29
Q

femara

A

high cholesterol

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30
Q

Progesterones

A

Megace
Anti estrogen effects
Can cause hyperglycemia

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31
Q

Antiandrogens

A

casodex, Eulexin

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32
Q

Lutenizing Hormone Releasing Hormone Agonists (LHRH)

A

Lupon, Zoladex

bone pain, gynecomastia

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33
Q

trismus

A

“lockjaw”

can be late side effect of Rad to H & N

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34
Q

bulking agents

A

Citrucel, Konsyl

Bran flaxseed, wheatgerm

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35
Q

stool surfactants

A

Colace, mineral oil

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36
Q

Osmotic laxatives

A

miralax, lactulose, MOM

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37
Q

Stimulant Laxatives

A

senocot, bisacodyl

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38
Q

selenium

A

may decrease prostate cancer growth in its aggressive form

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39
Q

calcium

A

may protect against colon cancer but >1500 mg can increase risk for prostate cancer

40
Q

Progesterones

A

may cause hyperglycemia

used as anti estrogens and as appetite stimulants

41
Q

Letrozole (AI)

A

may increase cholesterol

42
Q

adiponectin

A

a protective hormone that decreases insulin resistance and inflammation and promotes apoptosis

43
Q

Vitamin E

A

high doses may promote a modest increase in risk of prostate cancer (SELECT)

44
Q

Protein requirements in cancer

A

1.0-1.5gm/kg

45
Q

Protein requirements in cancer cachexia

A

1.5-2.5 gm/kg

46
Q

dysgeusia

A

Altered sense of taste

47
Q

oral candidiasis interventions

A 
good oral hygiene
soft, low acid foods
avoid sugar and yeast derived foods
1 T. yogurt held in mouth x 5 minutes a day
nystatin or Diflucan or chlorhexidine
48
Q

dysphagia interventions

A 
posture
avoid distractions
double swallow
moist foods
Avoid straws
thicken liquids prn
SLP eval
49
Q

acute nausea and vomiting meds

A

Zofran, aloxi, anzemet, kytril

50
Q

delayed nausea and vomiting meds

A

dopamine antagonists: Compazine OR Phenergan
Cannabinoids: marinol or cesamet
benzodiazapines: Ativan, valium
Corticosteroids: decadron, prednisone

51
Q

to prevent CINV

A

decadron
Zofran
rezonic OR emend
reglan

52
Q

ginger dosage for n/v

A

0.5-1.0 gram ginger extract

53
Q

mucositis interventions

A

good oral care
sip honey in warm water
avoid carbonation, alcohol and tobacco

54
Q

pancreatic enzyme dosage

A

30,000-40,000 lipase units per meal
10,000 units for snack
Do not exceed 2500 lipase units/kg body weight/meal

55
Q

hyponatremia

A

fluid overload, may need to add sodium and restrict free water (SIADH)

56
Q

hypernatremia

A

dehydration

57
Q

when to hold enteral nutrition

A

if gastric residual volumes are >/= to 500 ml

58
Q

Strontium 89(metastron) common nutrition side effect

A

Vomiting

59
Q

Methadone side effects

A

Nausea and constipation

60
Q

MST

PG-SGA

A

In OR Outpatient use

61
Q

MUST

MSTC

A

Inpatient only

62
Q

ECOG

A

O is perfect

5 is dead

63
Q

Karnofskys

A

100 is perfect

0 is dead

64
Q

Alkaline diet needs supplements of

A

Calcium and vitamin D

65
Q

Feed (blank) to an anastomosis makes it more resistant to leaks

A

Proximal

66
Q

Follow a low microbial diet for how long after autologoustransplant?

A

3 months

67
Q

Long-term complications of HCT include

A

Chronic GVHD
Osteoporosis
Endocrine complications
Growth and development issues.

68
Q

Tamoxifen increases your risk for developing this

A

Osteoporosis

69
Q

If you take this in high doses it may increase your risk of developing long cancer

A

Beta carotene

70
Q

Avoid folic acid when taking this

A

Methotrexate

71
Q

What is the most common site for colorectal metastasis

A

Liver

72
Q

Common Nutrition complications for NHL

A

Metabolic syndrome and hypothyroidism

73
Q

Xofigo and Xgeva Are both used to treat ?

A

Relapsed NHL

74
Q

What is one of the most disabling effects of chemotherapy used in lung cancer treatments?

A

Peripheral neuropathy

75
Q

What is the long-term complication for an ovarian cancer patient

A

Osteoporosis and heart health

76
Q

Which cancer patients experience the greatest weight loss

A

Pancreatic and gastric

77
Q

Monoclonal antibody’s that include risk of cardiotoxicity

A

Pertuzumab(Perjeta)
Trastuzumab(herceptin)
Ado-trastuzumab( Kadcycla)

78
Q

Which chemotherapy agents are most likely to cause SIADH?

A

Cisplatin cyclophosphamide and Vincristine

79
Q

Which organ system is most negatively impacted by antitumor antibiotics and may need nutrition management?

A

Renal

80
Q

Which pancreatic surgeries are not associated with dumping syndrome?

A

PPPD AND Distal Pancreatectomy

81
Q

The most common presenting symptom of endometrial cancer?

A

Acute abdominal pain

82
Q

Use these serotonin antagonist for acute N and V

A

Zofran
Kytril
Anzemet
Alicia

83
Q

Probiotics rec for malabsorption

A

S boulardi

L rhamnosus

84
Q

How much jejunum and ileum are needed for adequate GI absorption

A

100 cm jejunum

150 cm ileum with illeocecal valve

85
Q

To avoid significant hyperglycemia and potential refeeding syndrome initiate parenteral nutrition with this much dextrose

A

25-50% of goal dextrose

86
Q

indications for post pyloric feeding

A

Gastroparesis,
gastric outlet obstruction,
Duodenal obstruction
fistula proximal to the tube feeding location

87
Q

What is the standard parenteral electrolyte requirement for calcium

A

10-15 Milliequivalents per day

88
Q

Standard requirement for sodium and potassium per day in parenteral nutrition

A

1-2 mEq /day each

89
Q

In PN The minimal daily requirement for lipids

A

250ML’s of 20% OR 500 ML’s of 10% twice per week

90
Q

What is the hang time limit for IV FAT infusions

A

12 hours

91
Q

Potential toxicities from PN Longterm

A

Manganese
chromium
aluminum and
Elevated triglycerides

92
Q

Certain multi trace elements PN products do not contain what trace element

A

Selenium

93
Q

What is incompatible with IV Fat infusions and should be administered separately?

A

Iron

94
Q

Energy requirements for a Esophageal cancer

A

30-35 cal/kg

95
Q

Protein requirements for esophageal cancer

A
  1. 0 to 1.2 kg if weight stable

1. 2 to 1.6 kg if stressed

CSO exam (2 decks)

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