Symptoms of Cancer Flashcards
Name the different conditions to be aware of
Nausea and vomiting
Diarrhoea
Mucositis
Fatigue
Anaemia/
Neutropaenia/
Thrombocytopaenia
Tumour Lysis syndrome
What is acute N
<24 hours of n/v
What is delayed N/V
2-7 days after
What is anticipatory N/V
We expect it to happen
what is breakthrough N/V
symtpoms despite treatment
what is refractory N/V
Fail on standard and rescue meds
how do we grade N/V
scale 1-5
1 = 1 a day
3 = hospitilized
5 = death
what non pharma advice for N/V
Small frequent sips
Dry foods potentially non warm
Accupressure
What are the 5 different types of antiemetic
Dopamine antagonist
Corticosteroid
Proton pump inhibitor
5HT-3 inhibitor
Neurokinin 1
give an example of a dopamine antagonist
metoclopromide
give an example of a corticosteroid used for N/V
dexamethasone
give an example of a proton pump inhibitor
lansoprazole
omeprazole
give an example of a 5HT-3 Inhib
Ondansetron
give an example of a neurokinin inhib
aprepitant
what is the go to for pre treatment antiemetic for a low n/v load regime
Metoclopramide
what is the treatment for pre treatment for a regime with a moderate n/v load
Dexamethazone
Omeprazole
Ondansetron
what is the treatment for post treatment for a regime with a low n/v load
Metoclopramide
what is the treatment for post treatment for a regime with a high n/v load
Dexamethazone
Omeprazole
Ondansetron
What is mucositis
inflamed mouth
how do we treat mucositis
difflam / chlorohexidine mouthwash
what non p advice can we provide for mucositis
soft brush
good oral hygiene
what can we do to treat hair loss
cold cap therapy
Describe two ways in which fatigue can occur in chemo
N/V
Stress
How do we manage fatigue
Monitoring (using performance status scale)
What is the scale we use to monitor fatigue
performance status scale
Outline the different stages of the performance status scale
0 - fine
1 - symptomatic but okay
2 - in bed less than half the day
3 - in bed more than half the day
4 - Bedridden
what is tumour lysis syndrome
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
how do we manage tumour lysis syndrome
Allopurinol
Rasburicase
