• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/65

Click to flip

65 Cards in this Set

  • Front
  • Back
Severe, unrelenting mid-epigastric pain radiating to the back
acute pancreatitis
Severe RLQ pain
typhilitis
RUQ tenderness
VOD
Burning, aching in the epigstric area radiating to the umbilicus
gastritis/ulcer
LUQ pain, hard belly, bloated
Splenic sequestration
An acute or chronic inflammation of the pancreas
Pancreatitis
Risk factors for pancreatitis
L-Asparagnase, mercaptopurine, steroids
Classic signs of pancreatitis
elevated urinary amylase and elevated serum lipase
Chemo that has a risk for delayed/prolonged reaction
Peg-Asparaginase
Most common presentation of Spinal Cord Compression
back pain
Sickledex is not useful because
it only shows that S cells are present
Why do sickle cell pt have increased LDH and total Bilirubin
Chronic destruction
Treatment for priapism
LOTS OF FLUIDS. May also give sudafed to vasodilate or call urologist to drain
Never give demerol because
it decreases seizure threshold
Main nursing consideration for acute chest
use incentive spirometary..usually inpatient and on PCA
Hydroxuria will not prevent
Stroke
What type of disorder is Thalassemia
Production problem
Nursing considerations for Thalassemia
Monitor blood counts (hgb 9-10)
Effects of iron overload
-heart and liver damage
-endocrine dysfunction
Mixing Study
normal serum mixed with patients to determine which factors, if any, are missing
Virchow's Triad
1. Alterations in normal blood flow

2. Injuries to the vascular endothelium

3. Alterations in the consistancy of blood (hypercoagulability)
Evans syndrome
Combination of hereditary hematological disorders
When should patients with ITP be transfused
Only in emergencies such as a life threatening bleed or surgery
T/F
Steriods increase Platelets
True
T/F
Whin-Rho is contraindicated in Rh positive, non-splenectomized patients with ITP.
False, it is indicated.
Do not use Whin-Rho if recent
EBV
Why is gallstones a risk in patients with hereditary spherocytosis
They are made of bilirubin from the RBC breakdown
Presentation of Dyskeratosis Congenita (DKC)
hyperpigmentation of skin, nail distrophy and oral leukoplakia
What type of treatment provides the best prognosis in regards to brain tumors
surgery
Brain tumor treatment
-surgery
-radiation
-chemo
Radiation is not given to childer less than
3
Chemo is limited in treating brain tumors because
cant cross the blood-brain barrier
Treatment for Astrocytoma
-GTR: surgery only
-partial resection: surgery, radiation and chemo (Vincristine and carboplatin)
Incidence of Astrocytoma
most common brain tumor
Grading used for Astrocytoma
WHO I-IV
INI-1
Genetic marker for ATRT
ATRT prognosis
very aggressive, only <10% cure
Diffuse Intrinsic Pontine Glioma is located on
the brainstem
Which brain tumor diagnosis has trouble with sedation
Pontine Glioma
Symptoms of Ependymoma
-headache
-nausea/vomiting
-increased ICP
-memory loss
-loss of appetite
Prognosis for DIPG (Diffuse Intrinsic Pontine Glioma)
-no treatment (months to live)
-Pontine gliomas (expires 12-14 months)
Medulloblastoma/PNET is located
Posterior Fossa
-medullo is cerebellar area (lower brain)
-PNET is cerebellar (upper brain)
Genetics of Medullo/PNET
Gorlin and Turcot Syndrome
Sympotoms of medulloblastoma/PNET
-N/V
-headache
-AM vomiting
-nystagmus
-gait
Treatment for Medulloblastoma/PNET
surgery
radiation
Genetic disorder, broad face, rib malformations, predisposition to basal cell carcinoma
Gorlin Syndrome
Genetic disorder linked to FAP, cafe-au-lait spots, lipomas (fatty tumors), basal cell carcinoma
Turcot Syndrome
Treatment for Medullo/PNET`
-resection
-RT
-chemo
Signs of increased ICP
-am headache
-lethergy
-N/V
-hydrocephalus
-ataxia
-blurred vision
-neck stiffness
-posturing
-pupillary changes
-Cushing's Triad
Cushing's Triad
-hypertension
-bradycardia
-abnormal breathing pattern
Acute tumor lysis syndrome
-Caused by rapid release of intracellular metabolites during the initial treatment of malignancies.
- Leads to: Hyperuricemia, Hypocalcemia and Hyperkalemia
-Flank pain, lethargy, n/v, oliguria, pruritis, tetany, altered LOC, renal failure (dialysis may be needed)
Acute tumor lysis syndrome Management
Hydration, alkalinization, allopurinol to reduce uric acid formation and promote excretion of by-products of purine metabolism
Exchange transfusions
Hyperleukocytosis
- WBC count > 100 can lead to capillary obstruction, microinfarction, and organ dysfunction
- Respiratory distress, Cyanosis, Neuro changes: altered LOC, agitation, confusion, ataxia, delirium
Hyperleukocytosis Management
Rapid cytoreduction by chemo with hydration, urinary alkalinization, leukophoresis or exchange transfusions may be needed
Obstruction
- Space occupying lesion located in the CHEST = airway compromise and respiratory failure
- Space occupying lesion in BRAIN = herniation
- Space occupying lesion in SPINAL cord = numbness, tingling, incontinence or retention
Obstruction Management
Airway protection and Rapid cytoreduction
Overwhelming Infections
Gram-negative sepsis can result in numerous complications:
DIC: Life-threatening hemorrhage in combination with thrombocytopenia, platelet count of 20 and leukocytosis, (leukocyte count of 100) can cause intracranial bleeding from increased viscosity of the blood.
Space occupying lesion located in the CHEST may lead to
Airway compromise and respiratory failure
Space occupying lesion in BRAIN my lead to
Herniation
Space occupying lesion in SPINAL cord may lead to
Numbness
Tingling
Incontinence or Retention
Thrombocytopenia
Platelets count of 20
Leukocytosis
leukocyte count of 100
Nursing interventions for Daunorubicin/Doxorubicin
- Cumulative maxium dose (450-550mg/m2)
- doses over 300mg causes irreversable cardiotoxicity
- Zenacard (dexrazone) is a cardioprotectant
Nursing interventions for Carmustine (BCNU)
- delayed nadar of 4-6 weeks.
- crossed blood/brain barrier.
Nursing interventions for Vincristine
- constipation
- neuropathy
- cumulative neurotoxicities