Final Exam Flashcards - Cancer

1
Q

Cancer

A
  • A disease that occurs when the normal cell renewal process fails
  • Tumors may be benign or malignant
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2
Q

Treatment of Cancers

A
  • Chemotherapy
  • Biological therapy
  • Radiation therapy
  • Surgery
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3
Q

Chemotherapy

A

-Use of drugs to kill or slow the growth of cancerous cells

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4
Q

Biological Therapy

A

-Administration of immunomodulators to boost the body’s natural defense

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5
Q

Chemotherapeutic Agents/Antineoplastic Agents MOA

A

-Work by various mechanisms to interrupt the cell replication cycle

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6
Q

Types of Breast Cancer

A
  • Hormone Receptor-Positive
  • HER2-Positive
  • Triple Negative
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7
Q

Breast Cancer Treatment

A

-Hormone therapy is the treatment of choice for breast cancer

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8
Q

Classification of Hormone Therapy

A
  • SERMs
  • Estrogen receptor down-regulators
  • Aromatase inhibitors
  • GnRH
  • Progestins
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9
Q

SERMs

A

-tamoxifen

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10
Q

SERMs ADRs

A
  • Lowered platelet and WBC count
  • Hair loss
  • Menstrual changes
  • Pulmonary embolism
  • Deep vein thrombosis
  • N/V
  • Hot flashes
  • Vaginal itchiness
  • Endometrial cancer
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11
Q

ER Down-Regulators

A

-fulvestrant

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12
Q

Fulvestrant ADR’s

A
  • Bone and back pain
  • hot flashes
  • N/V
  • Diarrhea
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13
Q

Aromatase Inhibitors

A

-Block the conversion of androgens to estrone and estradiol

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14
Q

Aromatase Inhibitors ADR’s

A
  • Menopause like symptoms
  • N/V
  • Dizziness
  • Cough
  • Headache
  • Hair loss
  • Bone pain
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15
Q

LNRH and GnRH Agonists

A

-goserelin

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16
Q

Progestins

A

-Megestrol acetate is indicated for the treatment of inoperable, advanced metastatic breast cancer following treatment with tamoxifen or aromatase inhibitors

17
Q

Chemotherapeutic Agents: Alkylating Agents

A
  • One of the oldest classes of chemotherapeutic agents
  • Related to nitrogen mustard
  • Can cause cell mutations and are carcinogenic
  • Are toxic to cancerous cells and non-cancerous cells
18
Q

Chemo Tech Note!

A

-All chemo agents are prepared in a vertical flow hood

19
Q

Cyclophosphamide ADR’s

A
  • Hair loss
  • Appetite loss
  • Skin discoloration
  • Mouth sores
  • Fatigue
20
Q

Taxanes

A
  • Common ending: “taxel”
  • Cytotoxic drugs
  • Interfere with mitosis
21
Q

Taxanes ADR’s

A
  • Decreased RBC, WBC, platelets
  • Diarrhea/nausea
  • Total body hair loss
  • Aches and pains
  • Flushing
  • Sweating
22
Q

Vinca Alkaloids

A
  • Work similarly to taxanes

- Naturally derived from the periwinkle plant

23
Q

Vinca Alkaloids ADR’s

A
  • Hair loss
  • N/V
  • Constipation
  • Joint and muscle pain
  • Mouth sores
  • Increased risk for infection
24
Q

Anthracyclines

A
  • Common ending: “rubicin”

- Impair DNA replication and growth phase of cell life cycle

25
Q

Doxorubicin Tech Note!

A
  • Doxorubicin is a prodrug, it must be metabolized to the active metabolite idarubicin
  • Doxorubicin is cardiotoxic and may cause heart failure
26
Q

Topoisomerase Inhibitors

A

-Inhibit topoisomerases (cleave DNA strands)

27
Q

Platinum Compounds

A
  • Common ending: “platin”

- Act on purine bases to cause faulty cross linkages and defective DNA

28
Q

Cisplatin Tech Note!

A

-Cisplatin may cause irreversible hearing loss and neurotoxicity

29
Q

Fluoropyrimidines

A
  • Indicated for the treatment of several cancers
  • Capecitabine and 5-FU are prodrugs
  • 5-FU causes mismatched DNA base-pairs
30
Q

Antimetabolites

A

-Work most effectively against rapidly dividing cancerous cells by inhibiting DNA synthesis

31
Q

Biological Response Modifiers

A

-Modify the relationship between the tumor and the patient by strengthening the patients biological response to the tumor

32
Q

BRM’s - Monoclonal Antibodies

A

-Mimic the antibodies your body naturally produces