esophageal cancer Flashcards
reflux causes what?
change in the cells of the espohagus leading to pre cancerous cells
when pt has barrets what color is the esophagus
red not pink
what is the risk for someone with High Grade Dysphagia of the cells
30% risk
how often should someone with barrets get an EGD done?
every 6 mos
esophageal cancer is more common in men or women?
men- women have better diets
esophageal cancer is more common in what race?
african american
where does esophageal cancer often spread to?
perforation of the mediastinum and erosion of the great vessels
risk factors for esophageal cancer
chronic ingestion of hot liquids poor nutrition poor oral hygiene cigarrete smoking/chronic etoh nitrosamines
what is a nitrosamine
a cured meat. nitrates that are turned when the meat is cured
clinical manifestations of esophageal cancer?
advanced ulcerations before symptoms begin dysphagia- solid foods-liquids mass in throat painful swallowing sub-sternal fullness regurgitation foul breath hiccups swallowing becomes increasingly difficult regurgitation of fluids wt loss and a decrease in strength
whats a brushing?
removal of all the cancer cells on the linings of the esophagus
what labs should be drawn?
CBC, LFTs
albumin- nutrition
standard treatment of esophageal cancer
chemo 4-6 wks
no medical intervention for 4 wks
surgical removal
tumor resections of esophageal cancers
often have a very high mortality rate
post of care of cancer of the esophagus
wound management- wounds are very weepy airway/trach/suction HOB elevated 30 degrees semi-soft foods/thickened liquids tube feeding w/ severe dysphagia if completed obstruction of fistula G of J tube NPO till bowel sounds
nursing management of esophageal cancer
wt gain high cal high protein diet liquid or soft food diet monitor nutritional status may need blood prevent aspiration pneumonia HOB 30 degrees monitor for leakage- can be of saliva
why would this pt need an NGT tube?
anastamosis damage
promoting optimal nutrition
eat foods high in a and c and iron
provide diet and teaching for potential dumping syndrome and gastric resection
six small feedings low in concentrated carbs and sugar
fluids in between not with meals
lie down for 20-30 minutes after eating
more dry food
dietary supplements
vitamins, medium change triglycerides, b12 injections
