Oncology Flashcards
toddler reaction
regression, mimic sadness/anxiety
preschooler reaction
regression, acting out, feels guilty, fears separation
school age reaction
asks questions, understands, fears the unknown
foods to avoid with CINV
favorite foods, spicy, citrussy, strong odors
when can they get live vaccines?
6 months after last chemo session
radiation mgmt
avoid tight restrictive clothing, use mild unscented products
normal RBC
4-7
normal WBC
5-10
normal plt
150-450
s/s of lymphoma
enlarged painless lymph nodes, night sweats
osteosarcoma xray
sunburst on top of long bones
s/s of osteosarcoma
limp, mass, localized bone pain
osteosarcoma tx
surgery, chemo, NO radiation
care after amputation
early prosthetic fitting, gabapentin for phantom pain, cover until ready
ewing sarcoma xray
onionskin appearance - middle of long bones
ewing sarcoma s/s
pain, headache, pressure, visual lump, favoring 1 limb - may not be walking/crawling
ewing sarcoma tx
surg resection, intense radiation, chemo
silent tumor
neuroblastoma - no s/s until mets
s/s of neuroblastoma
lump in chest/abdomen, bone pain, periorbital ecchymosis & edema, neuro issues, lymphadenopathy
UA positive for catecholamines in -
neuroblastoma, Wilms tumor
neuroblastoma tx
chemo
rhabdomyosarcoma tx
surg removal, chemo, rad
s/s of wilms tumor/nephroblastoma
painless firm mass on kidneys, lethargy, hematuria, HTN
wilms/nephroblastoma tx
removal of tumor, kidney, & adrenals, chemo & radiation if not encapsulated
why should someone with a wilms/nephroblastoma be on bedrest
tumor can de-capsulate, cancer will spread, treatment more complicated
whitish glow of the eyes, strabismus
retinoblastoma
retinoblastoma tx
chemo, cryo, enucleation last resort
which cancer needs yearly checkups d/t high risk of secondary tumors
retinoblastoma