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Oncology > Emergencies > Flashcards

Emergencies Flashcards

1
Q

What are the electrolyte and metabolic abnormalities in tumour lysis syndrome?

A

Hyperuricaemia
Hyperkalaemia
Hyperphosphotaemia
Hypocalcaemia

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2
Q

What is the treatment for a chemotherapy hypersensitivity reaction?

A 
Stop infusion
Give o2
Adrenaline 0.5ml 1:1000 IM
Steroids
Antihistamine
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3
Q

How is tumour lysis syndrome treated?

A

Rehydration

Allopurinol

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4
Q

How can cord compression present?

A

New neurological signs
Severe back pain - band like, localised tenderness
Changes to bowel or bladder
Loss of sensation

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5
Q

How is cord compression diagnosed?

A

MRI scan
FBC
Bone profile
LFTs

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6
Q

How is cord compression initially managed?

A 
Dexamethasome 8mg twice daily 
PPI 
Opioids 
Rehydration 
Zolendronic acid 
Bed rest
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7
Q

How is neutropaenic sepsis defined?

A

Temperature over 38 for more than an hour

Neutrophils <0.5x10(9)/L

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8
Q

Who is at risk of neutropaenic sepsis?

A

Any patient who has had chemo within the last 6 weeks

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9
Q

What side effect can be life threatening when giving radiotherapy for lung cancer?

A

Dyspnoea

Treated with steroids

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Oncology (4 decks)

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