Intro to Cancer Flashcards

1
Q

Mitosis

A

cell splits into 2 genetically identical daughter cells

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2
Q

Meiosis

A
  • cell splits but keeps only half the genetic chromosomes (23 vs. 46)
  • Only occurs in sex cells of testes and ovaries
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3
Q

Differentiation

A

normal process where cells change in order to specialize for certain body functions

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4
Q

Hyperplasia

A

increase in number or density of normal cells

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5
Q

Metaplasia

A

Change in the normal pattern of cell differentiation (cells aint where they are supposed to be)

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6
Q

Dysplasia

A

cells differentiate in abnormal ways

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7
Q

Anaplasia

A

Immature or undifferentiated cell reproduction

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8
Q

What is cancer?

A
  • classification of many diseases
  • can affect many different types of cells or body systems
  • can affect anyone though there are risk factors
  • marked by uncontrolled growth and spread of abnormal cells
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9
Q

Tumor

A

aka neoplasm

  • can be either benign or malignant
  • mass of new tissue which grows independently from surrounding tissues and has no function
  • cells grow at rates which are uncoordinated
  • share properties of parents but altered shape/size
  • provide no benefit and may be harmful
  • still require blood, oxygen, nutrients
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10
Q

Benign tumors

A
  • localized growths
  • solid, well defined borders
  • stop growing when they reach the border of other tissues (inhibition)
  • grow slowly and remain stable in size
  • usually easily removed and don’t recur
  • can still cause problems (crowding, obstructions, etc..)
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11
Q

Malignant tumors

A
  • primarily what we think of when we refer to cancer
  • grow aggressively
  • irregular in shape, no defined borders
  • cut through other tissues causing injury
  • varying degrees of differentiation from parent cells
  • altered cell structure
  • simple metabolic activity, only care about mitosis
  • progressive mutations leads to greater deviation and sometimes immortality
  • promotes own survival, create vascular and support structures for own use

NO INHIBITION

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12
Q

Transplantability

A
  • able to break away and grow elsewhere

- associated with malignant tumors

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13
Q

Angiogensis

A
  • formation of new blood vessels from old
  • normal body function
  • integral in wound healing
  • formation of granulation tissue (connective tissue)
  • key step that separates benign from malignant tumors
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14
Q

“in situ”

A

pre-cancer

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15
Q

Invasion

A

-as cancer cells grow they invade surrounding tissue

  • cause pressure atrophy
  • degrade barriers between tissues
  • cancer cells easily separate
  • chemotaxis
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16
Q

Chemotaxis

A

cells breakdown drawing phagocytes to clean up; this attracts cancer cells too

-as body starts to attack cancer, actually release some cellular mediators, spurs growth of more cells

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17
Q

Metastasis

A

process where cancer cells spread from their primary site to distant organs and tissues

  • As malignant cells spread they access vascular and lymphatic systems (even possibly creating their own) allowing for spread to distant parts of the body
  • The majority of cancers have already metastasized by the time they are discovered or diagnosed
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18
Q

Etiology

A
  • several theories to origins of cancer

- 2 primary factors central to all: Carcinogens and immune impairment

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19
Q

Carcinogens

A

substances which can cause genetic mutation in cells through exposure

  • external (chemicals, substances, viruses, etc.)
  • internal (inherited mutations, hormones, etc.)
  • everyone is exposed to these on some level and at some point
  • other factors like genetics, immune response, exposure to viruses, etc. all contribute to carcinogenises
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20
Q

immune impairment

A

lessens bodies’ ability to fight and control abnormal cell growth

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21
Q

General Risk factors

A
  • heredity
  • age
  • gender
  • poverty
  • stress
  • diet
  • occupation
  • infections
  • tobacco
  • alcohol
  • recreational drug use
  • obesity
  • sun exposure
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22
Q

Initiation

A
  • cancer cells arise from “normal” cells due to a change in the cells’ genetic structure
  • mutation occurs in the cells’ DNA
  • These mutations can be inherited via a generic link fro parents or acquired during life due to exposure to carcinogens
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23
Q

Promotion

A
  • a single genetic alteration is not enough to cause cancer
  • exposure to promoting agents (carcinogens) causes mutations to express themselves and/or mutated cells to proliferate

some carcinogens function as both indicators AND promoters

24
Q

Progression

A
  • cancer cells increase in proliferation rate
  • formation of a tumor
  • spread of cancer cells outside of tumor-metastasis, angiogenises
25
Q

Summary of Initiation, Promotion, and Progression

A

Initiation: initiators cause cellular mutation

Promotion: carcinogen exposure causes expression of mutant genetics

Progression: increasing malignant behavior and spread

26
Q

Prevention

A
  • avoid exposure to carcinogens/reducing risk factors
  • follow workplace safety guidelines
  • general lifestyle changes (quit smoking, limit drinking, eat healthy, wear sunscreen/limit sun exposure, exercise, stress reduction)
27
Q

Diagosing

A
  • Imaging
  • Cytology
  • Tumor markers
  • Visualization
  • Lab tests
28
Q

Tumor markers

A

biochemical indicators of tumors which can be found in ALL body tissue when tumors are present

29
Q

Cytological examination

A

will reveal differences in tumor cell from normal to parent cells

30
Q

Grading

A

level of differentiation from parent cell

Grades 1 to 4

4 is the least

31
Q

Each cancer has…

A

their own classification system

32
Q

Staging

A

Size of tumor, and spread (TNM)

T: (tumor) size of tumor
N: (nodes) # of lymph nodes involved
M: (metastasis) spread to other areas

33
Q

Differentiation

A

is a good thing

  • acting like they should
  • if not differentiated, “came from liver, but now not acting like one”
34
Q

Medical Treatments

A
  • Surgery
  • Pharmacological
  • Radiation

Often times, 2 or more treatments used in conjunctions

35
Q

Post surgery nursing care

A
  • general post op care
  • pain control
  • TCDB
  • Monitor for bleeding (BRB immediate post op)
  • Infection control (first dose of broad spectrum antibiotic before surgery, 2 more doses after)
36
Q

Meds during chemo

A
  • Antineoplastic meds
  • Hormones
  • Antianemics
37
Q

Antineoplastic meds

A

inhibit DNA and/or RNA production or replication

  1. Alkylating
  2. Antibiotics
  3. Antimetabolites
38
Q

Busulfan and Cyclophosphamide

A

alkylating antineoplastic agents

39
Q

Bleomycin and Dactinomycin

A

antibiotic agents

40
Q

Fluorouracil and Methotrexate

A

antimetabolites agents

41
Q

Hormones in chemotherapy

A

block hormones used for cancer cell growth

42
Q

Antianemtics in chemotherapy

A

help support RBCs, correct anemia

43
Q

Design of Chemo Drugs

A

By design, they target quickly replicating cells because thats what cancer cells are

-they do not specifically target cancer cells

“shotgun”

44
Q

General Chemo Side Effects

A
  • GI upset (N/V, nutritional imbalance)
  • Alopecia
  • Fatigue
  • Anemia, neutropenia, thrombocytopenia
  • dry mouth
  • wasting
  • dehydration
45
Q

Nursing care for chemo

A
  • infection control/neutropenic precautions
  • immunocompromised
  • promote fluid intake and nutrition
  • monitor kidney, liver function especially with antineoplastic meds
  • activity intolerance
  • be careful handling/administering chemo drugs
  • educate on side effects/changes (urine color changes)
  • psychosocial, sexual, spiritual health
  • avoid favorite foods until not nauseous, bland foods immediately after dose
  • small frequent meals
46
Q

Radiation

A
  1. EBR

2. Bracytherapy

47
Q

EBR Nursing care

A

External beam radiation

  • monitor site
  • educate patient on cleaning (mild soaps, pat dry, don’t soak, ask about creams and lotions)
  • protect yourself
48
Q

Brachytherapy Nursing care

A

radioactive pellets

  • minimize time in rooms/maintain distance
  • don’t dislodge pellet
  • keep lead container and tongs in room
  • immobile, skin tears, hazards of immobility
  • focused on protecting the nurse, the patient is radioactive
  • end of hall
  • rotate nurses
  • not a lot of visitors
49
Q

Clinical Manifestations of Cancer

A
  • change in normal body functions
  • hematological changes
  • infection
  • Cachexia
  • Paraneoplastic syndromes
  • pain
  • psychological stress
50
Q

Cachexia

A

wasting/rapid weight loss caused by metabolic demands of cancer

-can also be caused/exacerbated by chemo/radiation

51
Q

Paraneoplastic syndromes

A

caused by production of biological chemicals (ex. hormones) at sites other than where cancer is

52
Q

Emergency situations related to cancer

A
  • Anemia
  • Thrombocytopenia
  • Compression/occlusionof spine, brain, etc…
  • Tumor Lysis Syndrome
53
Q

Tumor Lysis Syndrome

A

breakdown of cancer cells= increase in intracellular contents(electrolytes) in circulation

-hyperkalemia, hypercalcemia, hyperphosphatemia, acute kidney injury

54
Q

What are our priorities of care for our patients with cancer?

A

-pt comfort

55
Q

What assessment data is important?

A

-assess pain

56
Q

What interventions do we expect to implement?

A
  • antiemetic (preemptively)
  • meds as ordered
  • positioning
  • bland diet
  • keep hydrated