Oncology Flashcards
Woman clinical breast exam
every year over 40, 20-39 every 3 years
Woman pap test
every 3 years
CAUTION
C: change in bowel or bladder movements A: a sore throat that won't go away U: unusual bleeding/ discharge T: thickening/ lump in breast I: indigestion or difficulty swallowing O: obvious change in wart or mole N: nagging cough or hoarseness
If radioactive implant dislodges itself…
Gloves, forceps, lead-lined container
Can onco patients have raw fruits and veggies?
No
What kind of water can onco pt have?
Fresh (less than 15 min out)
Dx uterine cancer
CA-125 to rule out ovarian involvement,
endometrial biopsy
dilation and curetage
Hysterectomy: avoid what position post op
high fowler
Apart from hysterectomy,radio and chemo, for uterine cancer…
estrogen inhibitors
can post-op hysterectomy wear girdles?
no
signs and sx lung cancer
chest pain, hoarseness, pleuritic pain on inspiration, dyspnea, diminished endurance, hemoptysis, cough
Dx lung cancer
bronchoscopy, sputum specimen, CT, MRI
Bronchoscopy, watch for
respiratory dep, hoarseness, dysphagia, sub-cut emphysema.
Total laryngectomie:
epiglottis, thyroid cartillage, vocal cords
Total laryngectomie: position post-op:
mid-fowler
Total laryngectomie: post-op care
NG feeding to protect suture line, watch for carotid artery rupture, frequent mouth care
most frequent site for metastasis colorectal cancer
liver
risk colorectal cancer
genetic, inflammatory bowel diseases, refined carbs, red meat, low finer, high fat, chronic constipation, fried and broiled foods
screening colorectal cancer
occult blood testing (50)
risk bladder cancer
smoking
sx bladder cancer
hematuria
dx bladder cancer
cystoscopy
post-op ill conduit
hourly output, may be impotent, 2000-3000 cc/day flush out conduit, mucus is normal, change appliance AM
2 lab tests to see if metastasis to the bones
alkaline and acid phosphatase
TURP, absolutely need to make sure kidneys don’t clog up
continuous bladder irrigation
what is a orchiectomy
take out testicles
post-op TURP
no sitting, driving, strenuous exercise, solace, increase fluids to flush blood, att urine retention, temporary incontinence is expected.
risk stomach cancer
h pylori, achlorhydria, pernicious anemia, picked foods, salted meat/ fish, salt, billroth II, tobacco, alcohol
gastrectomy what position post-op
fowler
test for b12 anemia
schillings (urinary)
why pt anemic gastrectomy?
no stomach = no intrinsic factor= can’t absorb PO b12= can’t make good rbc= anemia
