week 5 lung cancer case studies Flashcards

1
Q

decreased WBC and neutrophils count can be due to chemo. the drop happens 5-7 __ after chemo begins

A

days

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2
Q

with chemo and decreased counts, the low/nadir is at day 7-14 and may get __

A

infected

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3
Q

counts in WBC and neutrophils rise when bone marrow is produced normally again, but make take 3-4 ____

A

weeks

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4
Q

if taken multiple chemo rounds, body takes __ to get back to normal WBC and neutrophil counts

A

longer

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5
Q

__ is a sign you have an infection

A

fever

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6
Q

fever is __ when WBC count is low at nadir

A

concerning

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7
Q

pts on chemo can have FLS with peak at 104/40 and spike after a chill. torf?

A

true

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8
Q

fever is __ with chemo

A

normal

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9
Q

with infection, the signs are fever and ___

A

pus

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10
Q

with infection, the signs are fever and ___

A

pain

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11
Q

with infection, the signs are fever and ___

A

cough

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12
Q

with infection, the signs are fever and ___

A

phlegm color

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13
Q

with infection, the signs are fever and ___

A

red

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14
Q

with infection, the signs are fever and ___

A

swell

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15
Q

with infection, the signs are fever and ___

A

skin breaks

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16
Q

with infection, the signs are fever and ___

A

IV line

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17
Q

with infection, the signs are fever and ___

A

mouth sores

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18
Q

you see fever and chemo, you further ask last chemo ___ and type of chemo. to see if neutropenic

A

dose

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19
Q

neutropenia is __ WBC

A

low

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20
Q

with neutropenic fever, the red/swell/pus is ___

A

absent

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21
Q

with neutropenic fever, the only ___ can be pain and tender

A

indications

22
Q

with biotherapy there is ____ a fever ass

23
Q

febrile neutropenia is LT 500___

24
Q

if neutropenic, higher infection risk with low WBC checked with a ___

25
febrile neutropenia can turn into sepsis, so you give the pt ______until WBC increase and fever gone
antibiotics
26
CXR can detect ____
neutropenia
27
priority to control N/V are: aggressive emesis ____with antianxiety and antiemetic drugs
control
28
priority to control N/V are: ____drugs like ondansetron
antiemetic
29
priority to control N/V are: light meal ___ treatment
before
30
priority to control N/V are: relaxation. torf?
true
31
priority to control anorexia are: mon pt for loss during and after treatment and watch for ____
dehydration
32
anorexia RT inflamed mouth or esophagus makes it ___ to chew and swallow
difficult
33
anorexia can happen at wk 4 but resolve ___ than fatigue at end of treatment
quicker
34
priority to control anorexia are: have small and ____ meals
frequent
35
priority to control anorexia are: give supplements or do parenteral or enteral ___
nutrition
36
priority to control anorexia are: M for N/V, pain and depression. torf?
true
37
metastasis is when cancer __ to other parts of your body thru blood or lymph
travels
38
lung cancer ___ bf diagnosed
metastasis'
39
monthly breast exams at age __
40
40
screening tests improve ____ and decrease mortality at early age
survival
41
lung cancer is normally due to ___
lifestyle
42
vaccine can ___ cancer
prevent
43
to prevent infection, M for fever bc if infected during chemo it can be ___
deadly
44
to prevent infection, take temp to see if a ___ during chemo
fever
45
to prevent infection, wash hands and __ teeth twice a day
brush
46
to prevent infection, bathe Qday and look for infection at tubes into body. torf?
true
47
to prevent infection, avoid germs. torf?
true
48
with lung cancer, the diagnoses' are: ___ for infection & for fluid volume deficit
risk
49
with lung cancer, the diagnoses' are: N and __ coping
bad
50
with lung cancer, the diagnoses' are: ___ for malutrition
risk