Oncology I Flashcards
What are the 7 signs of cancer?
CAUTION
- change in bowl or bladder habits
- a sore that does not heal
- unusual bleeding or discharge
- thickening or lump in breast or elsewhere
- indigestion or difficulty swallowing
- obvious change in wart or mole
- nagging cough or hoarseness
What are the three types of skin cancer?
basal cell, squamous cell, and melanoma
How to prevent skin cancer?
seek shade, slip on a shirt, sunscreen, hat, sunglasses
What is ABCDE?
asymmetry, border, color, diameter, evolving
Adjuvant?
therapy after primary therapy
Neoadjuvant?
therapy given before surgery
What are common SE of most chemo regimen?
diarrhea, alopecia, myelosuppression
What is the max dose of bleomycin and why?
lifetime 400 units b/c pulmonary toxicity
What is the max dose of doxorubicin and why?
lidetime 450-550 mg/m2 b/c cardiotoxicity
what is the max dose of cisplatin and why?
dose per cycle not exceed 100 mg/m2 b/c nephrotoxicity
what is the max dose of vincristine and why?
single dose “capped” at 2 mg b/c neuropathy
Which drugs do not cause myelosuppression
bleomycin, vincristine, TKIs
Drugs more likely emetogenic?
cisplatin
Drugs likely to cause mucositis?
fluorouracil, capecitabine, irinotecan, methotrexate
Drugs likely to cause diarrhea?
fluorouracil, capecitabine, irinotecan, TKI
Drugs likely to cause constipation?
vincristine, pomalidomide, thalidomide
What is mesna used for?
ifosfaamide and cyclophosphamide
Drugs likely to cause neuropathy?
vinca alkaloids, platinums, taxanes
When does myelosuppression happen?
7-14 days
Neulasta
pegfilgrastim
Leukine
sargramostim
Ethyol
amifostine
what is ethyol used for?
nephrotoxic prophylaxis from cisplatin
Fusilev
leucovorin
Vistogard
uridine triacetate
What is vistogard used for?
antidote used within 96 hours for fluorouracil or capecitabine
Voraxaze
glucarpidase
neupogen, Zarxio
filgrastim
Granix
tbo-filgrastim
When to administer CSF?
24 hours after chemo
Examples of NK 1-RA?
Aprepitant, fosaprepitant, rolapitant
Emend
Aprepitant, fosaprepitant
Akynzeo
netupitant and palonosetron
Varubi
rolapitant
Zofran, zuplenz
ondansetron
Kytril, Sancuso, Sustol
granisetron
Anzement
dolasetron
Aloxi
palonosetron
Examples of Dopamine antagonists
prochlorperazine, promethazine, metoclopramide, droperidol
Compazine, compro
prochlorperazine
Phenergan, Phenadoz, Promethegan
promethazine
Reglan
metoclopramide
Cesamet
nabilone
Salagen
pilocarpine