week 5 lung cancer case studies Flashcards
decreased WBC and neutrophils count can be due to chemo. the drop happens 5-7 __ after chemo begins
days
with chemo and decreased counts, the low/nadir is at day 7-14 and may get __
infected
counts in WBC and neutrophils rise when bone marrow is produced normally again, but make take 3-4 ____
weeks
if taken multiple chemo rounds, body takes __ to get back to normal WBC and neutrophil counts
longer
__ is a sign you have an infection
fever
fever is __ when WBC count is low at nadir
concerning
pts on chemo can have FLS with peak at 104/40 and spike after a chill. torf?
true
fever is __ with chemo
normal
with infection, the signs are fever and ___
pus
with infection, the signs are fever and ___
pain
with infection, the signs are fever and ___
cough
with infection, the signs are fever and ___
phlegm color
with infection, the signs are fever and ___
red
with infection, the signs are fever and ___
swell
with infection, the signs are fever and ___
skin breaks
with infection, the signs are fever and ___
IV line
with infection, the signs are fever and ___
mouth sores
you see fever and chemo, you further ask last chemo ___ and type of chemo. to see if neutropenic
dose
neutropenia is __ WBC
low
with neutropenic fever, the red/swell/pus is ___
absent
with neutropenic fever, the only ___ can be pain and tender
indications
with biotherapy there is ____ a fever ass
normally
febrile neutropenia is LT 500___
WBC
if neutropenic, higher infection risk with low WBC checked with a ___
cbc
febrile neutropenia can turn into sepsis, so you give the pt ______until WBC increase and fever gone
antibiotics
CXR can detect ____
neutropenia
priority to control N/V are: aggressive emesis ____with antianxiety and antiemetic drugs
control
priority to control N/V are: ____drugs like ondansetron
antiemetic
priority to control N/V are: light meal ___ treatment
before
priority to control N/V are: relaxation. torf?
true
priority to control anorexia are: mon pt for loss during and after treatment and watch for ____
dehydration
anorexia RT inflamed mouth or esophagus makes it ___ to chew and swallow
difficult
anorexia can happen at wk 4 but resolve ___ than fatigue at end of treatment
quicker
priority to control anorexia are: have small and ____ meals
frequent
priority to control anorexia are: give supplements or do parenteral or enteral ___
nutrition
priority to control anorexia are: M for N/V, pain and depression. torf?
true
metastasis is when cancer __ to other parts of your body thru blood or lymph
travels
lung cancer ___ bf diagnosed
metastasis’
monthly breast exams at age __
40
screening tests improve ____ and decrease mortality at early age
survival
lung cancer is normally due to ___
lifestyle
vaccine can ___ cancer
prevent
to prevent infection, M for fever bc if infected during chemo it can be ___
deadly
to prevent infection, take temp to see if a ___ during chemo
fever
to prevent infection, wash hands and __ teeth twice a day
brush
to prevent infection, bathe Qday and look for infection at tubes into body. torf?
true
to prevent infection, avoid germs. torf?
true
with lung cancer, the diagnoses’ are: ___ for infection & for fluid volume deficit
risk
with lung cancer, the diagnoses’ are: N and __ coping
bad
with lung cancer, the diagnoses’ are: ___ for malutrition
risk
