Leukemia Flashcards

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1
Q

leukemia

A
  • cancer of any of the leukocytes
  • malignant WBCS present in circulation (malignancy of WBCS)
  • wherever blood flows may have infiltration of tissues (NOT METASTASIS)
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2
Q

leukemia is the most common cancer in

A

Children and young adults

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3
Q

Etiology of leukemia

A

idiopathic

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4
Q

Chronic leukemia’s

A
  • may live with, may be myeloid or lymphoid

- mature cells, less aggressive

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5
Q

Acute leukemia’s

A

cure or death (likely to succumb as very aggressive)

  • myeloid or lymphoid
  • immature blast cells (formative) aggressive with short duration
  • not mature cells higher above cells in fig 12.6
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6
Q

leukemia’s classified as

A

acute or chronic lymphocytic (lymphocytes) or myelogenous (monocytes, granulocytes) leukemias

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7
Q

risks of leukemia

A
  • genetic predisposition
  • excessive exposure to radiation
  • Immunodeficiency
  • T-cell leukemia virus (infection doesn’t cause cancer virus does - it interferes with DNA and causes mutations)
  • Non malignant blood cell production also affected (decreases) cancer fights for limited resources
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8
Q

Diagnosing leukemia

A

-blood & bone marrow evaluation

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9
Q

Manifestations of Leukemia

A
  • anemia
  • thrombocytopenia: decreased deficiency of platelets affects clotting
  • Leukopenia: decrease in WBC, decrease in defense
  • recurrent infections and fever: body’s immunity compromised, own cells dying & releasing endogenous pyrogens
  • Fatigue & weakness: due to lack of RBCS
  • bruising & bleeding: lack of platelets
  • generalized pain: using muscles of body can’t fuel d/t decreased
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10
Q

how is non malignant blood cell production affected in pts with leukemia

A
  • leads to decreased 02 supply (less RBCS)

- impaired immune function (WBCS compromised and not being formed due to or reduction)

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11
Q

what is anemia

A

lack of red blood cells

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12
Q

what is leukopenia

A

deficiency of leukocytes

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13
Q

thrombocytopenia

A

deficiency of platelets

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14
Q

for stages of treatment for leukemia

A
  • Induction phase
  • CNS prophylaxis
  • Consolidation
  • Maintenance
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15
Q

Treatment of leukemia uses BOTH

A

Chemotherapy & Radiation

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16
Q

other treatments of leukemia

A
  • transfusions
  • antimicrobials (antibiotics, antifungals)
  • colony stimulating factors
  • marrow or stem cell transplant (option if nothing else works)
17
Q

Induction phase of leukemia treatment

A

-induce remission (start remission)

18
Q

CNS prophylaxis of leukemia treatment

A

-to prevent problem in CNS

19
Q

Consolidation of leukemia treatment

A

-increase dose & maintain remission

20
Q

Maintenance of leukemia treatment

A

-decrease dose & maintain remission