Exam 4: Oncology Flashcards
list 4 causes of cancer
genetics
exposure to chemicals
occupational exposure
lifestyle
provide examples of chemicals that cause cancer
pesticides, roundup, etc.
bladder cancer is common in hairstylists
provide examples of occupational exposure that cause cancer
black lung (mesothelioma) in coal miners
radiation in medical professionals
provide examples of lifestyle cancer causes
tobacco
diet
BRCA 1 and BRCA 2 genetic marker
breast cancer
elevated PSA
prostate cancer
CEA
colorectal cancer
CA-125
ovarian cancer
albumin < 3.5 = what
malnutrition
list cancer warning signs (CAUTION)
Change in bowel habits
A sore or lesion that doesn’t heal
Unusual bleeding/ discharge
Thickening or lump in breasts - check 1x/month
Indigestion/ dysphagia
Obvious change in mole/wart
Nagging cough/ hoarseness
when should you offer meals re: chemo
before
what may be required if vomiting cannot be controlled
NG tube
how is cervical cancer detected
PAP smear (papnicolaous test)
how is colon cancer detected
colonoscopy
how is cancer treated determined
based on stage of cancer
what should you do when working with linens from a chemo pt
double bag with an impervious bag
what are toileting considerations for chemo patients
double flushing
splash guard
men and women both sit down to urinate (avoid splashing)
how many pair of gloves should caregivers wear when handing bodily fluids of chemo patients
2 pairs of throw away gloves
how should clothing/linens be washed for chemo patients
in the washer, not by hand
what is Nadi-r? when does it occur?
WBC count is at its lowest; 10 - 14 days after chemo
what happens if WBC count is too low? what is too low?
cannot get next chemo treatment; increased risk for infection; < 1000
how can chemo be given?
PO
Central line
what do you need to give a patient 30 minutes prior to chemo?
ondansetron, may also get phenergan or compazine
