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Clin Med 2 > Study Guide Leftovers 3 > Flashcards

Study Guide Leftovers 3 Flashcards

1
Q

What is chronic cancer pain often attributed to?

A
  • bone destruction
  • visceral obstruction
  • nerve compression
  • skin/tissue distention
  • tissue inflammation, infection, necrosis
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2
Q

chronic cancer pain: bone destruction caused by

A

infiltration by malignant cells

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3
Q

chronic cancer pain: visceral obstruction

A
  • obstruction of hollow visceral organ

- usu due to tumor growth

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4
Q

chronic cancer pain: nerve compression

A

compression of peripheral nerves from adjacent tumor masses

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5
Q

chronic cancer pain: skin/tissue distention

A

painful stretching due to underlying tumor growth

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6
Q

chronic cancer pain: tissue inflammation, infection, necrosis

A

may be excruciating

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7
Q

Common side effects of cancer tx

A
  • bone marrow suppression
  • fatigue
  • cardiopulmonary dysfunction
  • radiation skin rxns
  • radiation osteonecrosis
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8
Q

What is bone marrow suppression also called?

A

myelosuppression

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9
Q

If a patient has myelosuppression, what does this mean for PT?

A

requires infection control!

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10
Q

Bone marrow suppression may lead to:

A
  • leukopenia
  • anemia
  • thrombocytopenia
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11
Q

Cancer tx side effects: fatigue is closely related to this

A

anemia

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12
Q

Cancer tx side effects: What sorts of things would result from cardiopulmonary dysfunction and what would you look for?

A
  • pericardial fibrosis
  • constrictive pericarditis

**look for exertional dyspnea

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13
Q

What does a radiation skin rxn look like?

A

sunburn

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14
Q

Cancer tx side effects: radiation osteonecrosis

A
  • irreversible

- should be carefully handed due to high pathologic fx risk

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15
Q

Winningham contraindications for aerobic exercise: What factors are assessed?

A
  • Platelets
  • Hemoglobin
  • WBC
  • Granulocytes
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16
Q

Winningham contraindications for aerobic exercise: platelets

A

Platelets less than 50,000

*normal 150000-400000

17
Q

Winningham contraindications for aerobic exercise: hemoglobin

A

Hemoglobin less than 10

*normal iw W 13-17, M 12-15

18
Q

Winningham contraindications for aerobic exercise: WBC

A

WBC less than 3000

*normal 4500-10000

19
Q

Winningham contraindications for aerobic exercise: granulocytes

A

less than 2500

20
Q

Winningham contraindications for aerobic exercise: Is this the standard?

A

There is no industry standard - use clinical judgment

21
Q

What is a good idea to consider for exercise with cancer tx?

A
  • vitals
  • RPE during exercise
  • s/s infection, fever, throbocytopenia, DVT, dehydration, electrolyte imbalance
22
Q

What are some of the late effects of cancer tx that could impact PT tx?

A
  • fatigue
  • lymphedema
  • endocrine
  • impaired cognition
23
Q

What is chemobrain?

A
  • mental fogginess during tx course

- can last up to 6 months after chemo

Clin Med 2 (78 decks)

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