peads palliative

Question 1

whens palliative care for a child start

Answer 1

when illness is diagnosed

Question 2

when does palliative care for child end

Answer 2

after they die, because of family

Question 3

is palliative care for kids only cancer

Answer 3

no

possibility of death
terminal
no cure
earth death

Question 4

whats PESST framework

Answer 4

physical 
emotional
social
spiritual 
trajectory

Question 5

where do bone tumours go

Answer 5

lungs

Question 6

difference pead and adult oncology

Answer 6

not from lifestyle

kids can be serious ill at time of diagnosis

Question 7

Grade

Answer 7

degree of malignancy

Question 8

stage

Answer 8

1-4 slowly to grows rapidly

Question 9

3 phases of chemo

Answer 9

induction (high dose)
consolidation (high dose)
maintenance (lower)

Question 10

effects of chemo

Answer 10

Cell death

myelosuppression

Question 11

what is myelosuppesion

Answer 11

reduces production of platelets, RBC, and WBC

Question 12

vincristine

Answer 12

administered intravenously

chemo induced peripheral neuropathy

decreased gut mobility

paralysis of vocal cords / swallowing

autonomic (raynauds, hypotension)

Question 13

steroids what it do

Answer 13

decrease swelling
treat cancer
decrease immune response, nausea
increase appetite

Question 14

side effects chemo

Answer 14

proximal myopathy
mood changes
cushingoid appearance (round face)

Question 15

methotrexate side effects

Answer 15

mucositis (decreased intake, pain, infection)

neurotoxicity (headache, weakness)

foot hand syndrome (red swollen blisters)

kidney injury

Question 16

doxorubicin and cyclophosphamide side effect

Answer 16

cardiotoxicity

Question 17

cisplatin can cause

Answer 17

hearing loss

Question 18

most common pead cancer

Answer 18

leukemia

Question 19

genetic predisposition to leukemia

Answer 19

Down syndrome, other chromosomal abnormality , exposure to chemical

Question 20

s/s leukemia

Answer 20

anemia (low Hb)

thombocytopenia (low platelets) (bruising)

neutropenia (low WBC)

bone pain (decreased WB)

Question 21

leukemia treatment

Answer 21

chemo 2 years

Question 22

signs symptoms of brain tumour

Answer 22

headache , nausea , LOC, vision, balance

tort

Question 23

treatment brain tumor

Answer 23

surely, chemo

Question 24

posterior fossa tutor includes what

Answer 24

hypotonia
mutism
feeding issues
irritability

Question 25

what is sarcoma

Answer 25

malignant tumor from skeletal mm

Question 26

osteogenic sarcoma s/s

Answer 26

variable bone pain
injury w no improvement 
altered WB
palpable mass
refereed pain

Question 27

Where does osteogenic sarcoma occur

Answer 27

long bones more

flat bones

Question 28

treatment ostegeneic sarcoma

Answer 28

biopsy
chemo
surgery (limb sparing, amputation)

Question 29

factors effecting PT

Answer 29

platements (<20 take it easy)
Hb
neutrophils (infection)

Question 30

CIPN

Answer 30

sensory and motor involvement, may start w achilles reflex loss
gait altered
decreased ROM, strength

Question 31

treatment CIPN

Answer 31

maintain ROM, strength
balance
education
safety

Question 32

steroid induced proximal myopathy

Answer 32

weakness in proximal mm’s
gradual or sudden onset
may have difficulty getting up, climbing

Question 33

avascular necrosis

Answer 33

associated w long term steroid use

pain restricts ROM

Question 34

treatment AVN

Answer 34

protection w gait aids
pain free low impaction ROM
strength around the joint