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26 Cards in this Set
- Front
- Back
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this is the most aggressive lung cancer
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small lung cell cancer
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this cancer is usually inoperative
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small lung cell cancer
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3 non-small cell lung cancer
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epidermoid
adenocarcinoma large cell |
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type caused by smoking
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epidermoid
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type caused by non-smokers
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adenocarcinoma
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causes of cancer
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smoking, asbestos, 2nd hand smoke, chemicals, radon
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common sites of lung cancer metastasis
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pleural spaces
lymph nodes *liver *brain bone-vertebrae and ribs |
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paraneoplastic syndrome
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indication of advanced disease:
thrombophlebitis SIADH Cushings, etc |
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Pt's blood clot or thin?
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clot-easily get DVT's and PE's
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stage 1 LC
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localized cancer
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stage 2 LC
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cancer in the lymph nodes at the top of the lung
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stage 3 LC
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cancer has spread into the chest wall
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stage 4 LC
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cancer has spread to another part of the body
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Signs of LC
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hemoptysis
cough SOB, dyspnea recurrent pneumonia or effusion chest pain- not angina, musculoskelatal *weight loss- something is wrong if adult is unintentionally losing weight fatigue superior vena cava syndrome |
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Symptoms of LC
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Palpate-fremitus increased
Percussion- dull Auscultate- wheezes, decreased BS, pleural friction Rub Psychosocial- Fear, guilt and shame |
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superior vena cava syndrome
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tumor pushing against S. vena cava causing edema and skin color changes from the nipple and up
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what to do for a superior vena cava syndrome
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Do CXR
Immediate radiation therapy and O2 |
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Diagnosis of LC
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sputum for cytology
CXR Bronchoscopy PET scan thrococentesis percutaneous needle bx mediastinoscopy respiratory Fx- ABG, PFT |
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worry about with hotspots on bone scan
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pathological fractures
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treatment for LC
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chemotherapy
radiation therapy Laser therapy video assisted thoroscopic surgery Bronchial stents |
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surgical tx for LC
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lobectomy
pneumonectomy wedge resection |
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Post operative Care
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Operative side up-allows for better expansion
voldyne pain control prevent frozen shoulder syndrome |
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prevention of frozen shoulder syndrome
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gently get them abducting the shoulder
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Post op D/C teaching
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no heavy lifting for 6 mo
watch for resp infection f/u chemo or radiation |
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Palliative Therapy
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O2 therapy
Drug therapy |
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Malignant Pleural effusions
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Frequent Thorocentesis
chest tube sclerosing agent injected into chest tube Pleurodesis |
