Oncological Management+Rx Flashcards
Temp plus chemo =
febrile neutropaenia
Neutrophils 38
Which cancer more likely to get neutropaenia?
leukaemias
how to tell if someone’s neutrophils are going back up?
How are their mouth doing?
what is fox pen sign?
if they are spiking temperatures but trending down then they are getting better.
older patients be careful for what?
may not mount a fever
persons with cancer and back pain could be?
crush fracture?
muscle strain
spinal cord compression
persons with cancer and back pain investigation?
MRI.
Spinal Cord compression from cancer management?
Refer to neurosurg to get MRI
Dexamethasone QID (local problem = local rx)
Surg/radiotherapy
Treat underlying problem
principles of cancer rx mx?
- tissue tissue tissue
- make it someone else’s problem
- systemic problem = systemic treatment
- local problem = local treatment
4.
if only one blood test to look for in Malignancy?
cCALCIUM
which cancers tend to cause hypercalcaemia
non small cell
breast
myeloma
how to treat hypercalcaemia
fluids, lots to flush
zoledronic acid
Chemo related to emesis
- less common
- certain drugs
- come to hospital early
- fixed in ED
how to prevent emesis in chemo these days?
- 5HT3 antagonists fast
- fill with fluid and dexmethasone
when do patients on chemo usually get unwell?
1-2 weeks (usually)
some 3-4 weeks
