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69 Cards in this Set
- Front
- Back
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What is the # 1 concern with the treatment side effects of cancer?
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Fever
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What is a complication of chemo?
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Leukopenia
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What fever should you report with leukopenic patients
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101 or higher
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T/F- Leukopenic patients should avoid large crowds
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True
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Major side effect of chemo (hematologic)
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Thrombocytopenia
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Interventions to for thrombocytopenia
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-pad furniture
-avoid needle sticks -avoid running into furniture -fall prevention -electric razor |
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What will you give a pt with hematologic anemia?
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Erthyopoietin
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T/F- N/V are common side effects of chemo
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True
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T/F- Stomatitis/Xerostomia are common side effects of chemo
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True
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How soon before chemo should on take Emend?
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1 hours before
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What is Xerostomia
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dry mouth
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Why should cancer pts suck on ice chips?
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Helps cause vasoconstriction and slightly numbs
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T/F- A nurse should avoid soaps, cosemetics, lotions and deordants for cancer patients to avoid imparied skin intergrity
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True
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T/F- Many cancer drugs are protein bound
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True
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What is one method for helping stimulate appetites in cancer patients
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small spaced out meals throughout day
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What is alopecia
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hair loss
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Hemorrhagic cystitis
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direct irritating affect on mucosal cells of bladder from chemo
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Early Detection Screening for breast
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Exams every 3 for 20-30
every year over 40 |
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Early Detection Screening Colon
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Start at 50
- Fecal occult q yr -Sigmoidscopy q 5 yr -Colonoscopy q 10 yr |
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Early Detection Screening Cervix
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Pap @ 21
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Early Detection Screening Prostate
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@ 50 annually
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Warning signs of prostate cancer
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- Frequent urination
-Blockage of flow -Dribbling -Get up at night to go -Urgency -Straining to empty bladder |
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Types of screening for prostate cancer
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-Prostate specific antigen
-Digital rectal exam -Transrectal ultrasound -Prostate fluid tissue -Sexual dysfunction eval. |
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Gleason Scoring of Prostate cancer- A score of 8-10 is considered ______
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undifferentiated cells
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Gleason Scoring of Prostate cancer-
A score of 5-8 or lower |
less cancerous
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What is a drug that is given for treatment of prostate cancer
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5 alpha reductase inhibitors; alpha 1 adrenergic
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Risk factors for breast cancer
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-Family history
-1st pregnancy after 30 -Early onset of menses -Late menopause -Fibrocystic Breast disease |
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Breast Cancer detection/prevention
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-Mammogram
-healthy diet -low alcohol -exercise |
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2 types of breast cancer
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-Ductal Carcinoma in Situ
-Invasive cancer |
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Treatment of breast cancer
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-Surgery
-Chemo -Radiation |
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Living with breast cancer
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-Breast reconstruction
-Lymphedema -Decreased menstrual cycle -Menopausal symptoms -Fertility/Pregnancy problems -Fatigue |
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Stage of lung Cancer
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Stage 1
Stage 2 Stage 3 Stage 4 |
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Stage 1 of lung cancer
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Small tumor, no nodes
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Stage 2 of lung cancer
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Primary site w/ hilar node involvement
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Stage 3A of lung cancer
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Mediastinal glands on same side as tumor
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Stage 3B of lung cancer
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Lymph node involvement supraclavicular or on either side of chest
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Stage 4 of lung cancer
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Mets outside of the chest (worst stage)
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T/F- Breast cancer often leads to lung cancer due to lymph pathway
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True
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Lung Cancer symptoms
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Recurring lung conditions like asthma
Cough/blood sputum SOB Chest pain Loss of appetite Clubbing DVT Facial swelling Droopy eyelids |
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T/F- Lung cancer treatment depends on the type of cell and extent of disease
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True
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Colon Rectal cancer risk factors
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-Genetics
-High fat diet -Low fiber, fruits, veggies -Tobacco use |
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Skin Cancer (3 stages)
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-Basal cell carinoma
-Squamous cell carinoma -Malignany Melanoma |
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What are 2 cancer related crisis?
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-Sepsis
-DIC |
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Stage 2 of lung cancer
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Primary site w/ hilar node involvement
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Stage 3A of lung cancer
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Mediastinal glands on same side as tumor
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Stage 3B of lung cancer
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Lymph node involvement supraclavicular or on either side of chest
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Stage 4 of lung cancer
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Mets outside of the chest (worst stage)
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T/F- Breast cancer often leads to lung cancer due to lymph pathway
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True
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Lung Cancer symptoms
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Recurring lung conditions like asthma
Cough/blood sputum SOB Chest pain Loss of appetite Clubbing DVT Facial swelling Droopy eyelids |
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T/F- Lung cancer treatment depends on the type of cell and extent of disease
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True
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Colon Rectal cancer risk factors
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-Genetics
-High fat diet -Low fiber, fruits, veggies -Tobacco use |
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Skin Cancer (3 stages)
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-Basal cell carinoma
-Squamous cell carinoma -Malignany Melanoma |
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What are 3 cancer related crisis?
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-Sepsis
-DIC -SIADH |
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How is SIADH treated?
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-Fluid Restriction
-Declomycin -Lasix |
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T/F- Spinal cord compression is a urgent emergency cancer crisis
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True
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What electrolyte imbalance is associated with cancer crisis?
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Hypercalcemia
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Superior Vena Cava Syndrome
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SVC becomes compressed by tumor
Edema in periphery |
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Symptoms of Superior Vena Cava Syndrome
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hoarseness, chest pain, thoracic vessels dilated
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Treatment of Superior Vena Cava Syndrome
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Radiation of tumor- shrink to open up blood flow
Monitor cardiac status Watch renal status Supportive care |
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Tumor Lysis Syndrome
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Large numbers of cancer cells are destroyed releasing cell contents
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What electrolyte is a concern with Tumor Lysis Syndrome
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Potassium
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Treatment for Tumor Lysis Syndrome
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-Prevent other tissue destruction
-Monitor/Treat F/E imbalances -Closely monitor renal system |
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T/F- Low doses of pain meds should be started with cancer pain before higher doses
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True
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What is a common form of pain treatment for cancer pts.
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Pain patches
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Symptoms of end of life
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-Pain
-Dyspnea -Lethargy -Dry mouth -Delirium -Depression -Insomnia |
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Tumor specific antigen
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protein on cell membrane of cancer cells that distinguishes the malignant cell from a benign cell of same tissue type
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Hospice
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Coordinated program of interdisciplinary care & services provided in the home to terminally ill pts/families
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Pallative care
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Comprehensive care for pts whose disease is not responsive to cure
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Nadir
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Lowest point of WBC depression after therapy that has toxic effects on bone marrow
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