S3E3 Flashcards

1
Q

side effects of radiation and chemotherapy

A

➢ bone marrow suppression
➢ fatigue
➢ GI issues
➢ skin and mucosal issues
➢ pulmonary concerns
➢ cardiovascular effects
➢ Neuro effects
➢ reproductive effects

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2
Q

What type of bone marrow suppression side effects will you see from chemo/radiation?

A

neutropenic
infection
hemorrhage
thrombocytopenia

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3
Q

What type of fatigue side effects will you see from chemo/radiation?

A

anemia
toxic substance from treatment
lack of sleep

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4
Q

What type of GI side effects will you see from chemo/radiation?

A

internal mucosa is sensitive to chemo/radiation
NVD
anorexia
mucositis= decrease in electrolytes and nutrition

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5
Q

What type of skin/mucosa side effects will you see from chemo/radiation?

A

mouth
oral pharynx
esophagus

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6
Q

What type of pulm side effects will you see from chemo/radiation?

A

cough
dyspnea
irreversible lung damage
pneumonitis=cough, fever, night sweats, pulm fibrosis

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7
Q

What type of CV side effects will you see from chemo/radiation?

A

pericarditis
peri effusion
EKG change in LV

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8
Q

What type of Neuro side effects will you see from chemo/radiation?

A

moments of confusion
memory loss

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9
Q

What type of reproductive side effects will you see from chemo/radiation?

A

Infertility

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10
Q

What is immunotherapy

A
  1. boost or manipulate the immune system to create an environment not conducive for cancer cells to grow
  2. attack or kill cancer cells directly
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11
Q

Types of immunotherapy

A

cytokines
vaccines
monoclonal antibodies

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12
Q

Immunotherapy side effects

A

➢ capillary leak syndrome
➢pulmonary edema
➢bone marrow suppression (less severe compared to chemo)
➢fatigue
➢“flu like syndrome

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13
Q

What is targeted therapy

A

interferes with cancer growth by targeting specific cell receptors and pathways that are important in tumor growth, they act on specific targets and does less damage to normal cells than chemo. Targeted therapy is personalized treatment based on the biology of the tumor. Expensive

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14
Q

Targeted therapy side effects

A

Pt can become resistant to targeted therapy, Works best with chemo

➢ capillary leak syndrome
➢pulmonary edema
➢bone marrow suppression (less severe compared to chemo)
➢fatigue
➢“flu like syndrome

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15
Q

What are the 3 goals of cancer treatment

A

➢Curative
➢Control
➢Palliative

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16
Q

Radiation nurse management

A

*Asses radiation site
*Wound care orders Infection control
Neutropenic precautions
Labs
Fatique risks
PO nutrition, IV liquids or NG tube, TPN?
NVD help
Help dry mouth and taste

17
Q

Chemo nurse management

A

*Alopecia
*Sunscreen
*Hats
*Pulm edema
*Pericarditis, Peri effusions
*Ekg changes (LV)
Infection control
Neutropenic precautions
Labs
Fatique risks
PO nutrition, IV liquids or NG tube, TPN?
NVD help
Help dry mouth and taste

18
Q

Immunotherapy/targeted therapy nurse management

A

-Side effects resolve when therapy is over
-acetaminophen and IV Demerol can help control chills or rigors especially for those receiving IL-2
-assess for capillary leak symdrome, pulm edema, BMS, fatigue precautions

19
Q

Cancer complications

A

Malnutrition
Infection
Pain
Coping with cancer/tx

20
Q

Nurse roles during malnutrition

A

Cal counts
Daily wts
Encourage protein
Flavor foods
Control/minimize NVD

21
Q

Nurse roles during infection

A

Meticulous care around lines (foley, IV, PICC, etc)
Neutropenic precautions
Basic hygiene
Oral care
Hand hygiene for nurse and pt
Monitoring personal well being/hygiene while around pt
Controlled visitors
No fresh fruit/flowers

22
Q

Nurse roles for pain

A

Pain regimen around the clock and for break through

23
Q

Nurse rolls during coping with cancer/tx

A

➢ assess psychosocial status of patient
➢ fear, anxiety, loss of control, relationships and the impact of dx on them
➢ financial concerns
➢ fear of death

24
Q

Cancer pt nurse management

A

-Supportive
-Active listening
-Make realistic goals and expectations
-Build trust
-Open/honest
-Know their goals and when
-Reassurance and ongoing support
-Provide education and answer questions
-Check in with providers/ support people
-Community resources