oncology Flashcards
side effects of chemotherapy
alopecia
nausea
dry mouth
vomiting
anorexia
signs and symptoms of mucositis
oral erythema
ulcers
mucosal irritation
pt is receiving chemotherapy and returns in the middle of her chemo with a 11 buccal abscess, what are your concerns and treatment options
infection can be life threatening as immunocompromised
pancytopenia and bleeding complications
how do cytotoxic chemotherapy drugs act
interact with cancer cell DNA or RNA and affect the phases of cell life
treatment of mucositis
opioid analgesics
chlorhexadine 0.2% mouthwash
your patient is about to undergo chemotherapy, what are your concerns in management of patient?
chemotherapy has haematological effects leading to coagulation defects and impaired immune status
when pt is immunocompromised any infection can be life threatening
what are your priorities in treatment of a patient about to undergo chemotherapy?
remove and current source or potential source of infection
prevention
causes of trismus
tumour
infection
surgery
fibrosis of MOM
dental aspects of radiotherapy to the head and neck region
hyposalivation
sore mouth
loss of taste - radiation to taste buds
oral fungal infections
radiation caries
pt received radiotherapy and presents to dentist with rampant caries affecting incisor edges and cervical margins. what is your diagnosis
radiation caries
what is the big risk associated with dental extractions/surgery after radiotherapy
ORN
what dose of radiation poses greatest risk of ORN
over 60Gy
how do you prevent ORN
avoid extractions after jaw irradiation
remove teeth with poor prognosis at least 2 weeks prior to start of radiotherapy
