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Jamie Cancer... > Symptoms of Cancer > Flashcards

Symptoms of Cancer Flashcards

1
Q

Name the different conditions to be aware of

A

Nausea and vomiting
Diarrhoea
Mucositis
Fatigue
Anaemia/
Neutropaenia/
Thrombocytopaenia
Tumour Lysis syndrome

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2
Q

What is acute N

A

<24 hours of n/v

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3
Q

What is delayed N/V

A

2-7 days after

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4
Q

What is anticipatory N/V

A

We expect it to happen

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5
Q

what is breakthrough N/V

A

symtpoms despite treatment

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6
Q

what is refractory N/V

A

Fail on standard and rescue meds

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7
Q

how do we grade N/V

A

scale 1-5
1 = 1 a day
3 = hospitilized
5 = death

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8
Q

what non pharma advice for N/V

A

Small frequent sips
Dry foods potentially non warm
Accupressure

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9
Q

What are the 5 different types of antiemetic

A

Dopamine antagonist
Corticosteroid
Proton pump inhibitor
5HT-3 inhibitor
Neurokinin 1

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10
Q

give an example of a dopamine antagonist

A

metoclopromide

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11
Q

give an example of a corticosteroid used for N/V

A

dexamethasone

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12
Q

give an example of a proton pump inhibitor

A

lansoprazole
omeprazole

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13
Q

give an example of a 5HT-3 Inhib

A

Ondansetron

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14
Q

give an example of a neurokinin inhib

A

aprepitant

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15
Q

what is the go to for pre treatment antiemetic for a low n/v load regime

A

Metoclopramide

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16
Q

what is the treatment for pre treatment for a regime with a moderate n/v load

A

Dexamethazone
Omeprazole
Ondansetron

17
Q

what is the treatment for post treatment for a regime with a low n/v load

A

Metoclopramide

18
Q

what is the treatment for post treatment for a regime with a high n/v load

A

Dexamethazone
Omeprazole
Ondansetron

19
Q

What is mucositis

A

inflamed mouth

20
Q

how do we treat mucositis

A

difflam / chlorohexidine mouthwash

21
Q

what non p advice can we provide for mucositis

A

soft brush
good oral hygiene

22
Q

what can we do to treat hair loss

A

cold cap therapy

23
Q

Describe two ways in which fatigue can occur in chemo

A

N/V
Stress

24
Q

How do we manage fatigue

A

Monitoring (using performance status scale)

25
Q

What is the scale we use to monitor fatigue

A

performance status scale

26
Q

Outline the different stages of the performance status scale

A

0 - fine

1 - symptomatic but okay

2 - in bed less than half the day

3 - in bed more than half the day

4 - Bedridden

27
Q

what is tumour lysis syndrome

A

Associated with aggresive haematological malignancies and have a high cell burden.

The chemotherapy then may cause mass cell lysis so uric acid is released from the cells as they break down and can lead to aki

28
Q

how do we manage tumour lysis syndrome

A

Allopurinol
Rasburicase

Jamie Cancer... (10 decks)

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