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19 Cards in this Set

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NSG CARE FOR PT WITH BONE MARROW TRANSPLANT
FIGHT OF THEIR LIFE
-PT AT RISK FOR INFECTION/SEPTIC SHOCK/NEUTROPENIA
-AT RISK FOR BLEEDING/THROMBOCYTOPENIA
-PT FATIGUE/ANEMIA
-SKIN RXN,ALOPECIA,ANOREXIA,CACHEXIA(WASTING OF PROTEIN MASS)
ONCOLOGICAL EMERGENCIES
1.OBSTRUCTIVE
2.METABOLIC
3.CARDIAC TOXICITIES
WHY SHOULD U CAUTION PTS TAKING HERBAL MEDS?
WILL INTERFER W/ CHEMO TXT
BIOTHERAPY (BRM)
BIOLOGIC RESPONSE MODIFIERS
-ALTERS IMMUNE RELATIONSHIP
-BOOSTS IMMUNE SYS
MONOCLONAL ANTIBODIES
CYTOKINES-INTERFERON
-INTERLEUKINS
HPPH
NEW DRUG*
PT PHOTOSENSITIVE FOR 5-7 DAYS
S/E OF PHOTOFRIN
PT PHOTOSENSITIVE TO SUN (30-60 DAYS)
-COVER COMPLETELY !
-PT CAN GET SEVERE BLISTERS,REDNESS
-PT MUST WEAR SUNGLASSES AND GARB AT NIGHT
-AFTER 1 MONTH-PT TESTED FOR DEGREE OF PHOTOSENSITIVITY
LASER
-ADVERSE EFFECT
-USED W/
GIVEN 3 DAYS LATER
AFTER PHOTOFRIN KILLS CANCER CELLS
S/E:SWELLING (WILL GO AWAY)
USED WITH MESOTHYLOMA,ESOPHAGEAL,SKIN CANCERS
PDT
PHOTODYNAMIC THERAPY
**PHOTOFRIN**-DRUG GIVEN IV
-A LIGHT SENSITIVE DRUG THAT CANCER CELLS HOLD ON TO FOR A LONG TIME
PBSCT
-PERIPHERAL BLOOD STEM CELL TRANSPLANT
-DONE OUTPATIENT
-APHERESIS
WHAT MIGHT HAPPEN TO PT AFTER BONE MARROW TRANSPLANT?
PT MAY GET PNEUMOCYSTITIS OR CMV
-ANY WOUND,TEAR IN MEMBRANE,ETC.CAN GIVE PT INFECTION
-PT MAY NEED UP TO 115 BLD TRANFUSIONS
-AFTER PT GOES HOME-PT CAN GET GVHD
(GRAFT VS HOST DISEASE)
WHEN CAN PT WITH BONE MARROW TRANSPLANT GO HOME?
ONCE WBC'S ABOVE 1,000
WHICH MEDS GIVEN TO PT W/ BONE MARROW TRANSPLANT?
1.FILGRASTIN (NEUPOGEN)
2.OPRELUKIN (NEUMGEA)
3.ERTHROPOEITIN (PROCRIT)
PT MAY BECOME__ AFTER BONE MARROW TRANSPLANT
1.PANCYTOPENIC
2.RISK FOR INFECTION
3.RISK FOR INJURY/BLEEDING
MARROW GIVEN IV (NO FILTER)
TAKES 2-4 WEEKS BEFORE THEY START MAKING CELLS
1ST-RBC'S
2ND-PLATELETS
3RD-RBC'S
RECIPIENT
-BEST IF AGE__
-WILL UNDERGO__
UNDER AGE 50
-WILL UNDERGO IMMUNOSUPRESSIVE THERAPY
-CHEMO/WHOLE BODY RADIATION
-MARROW GIVEN IV (NO FILTER)
DONOR
-AUTOGRAPH (SELF)
-ALLOGRAPH (FROM SOMEONE ELSE)
CURATIVE
REPLACES AILING MARROW BY NORMALLY FUNCTIONING STEM CELLS FROM A HEALTHY DONOR
RESCUE TECHNIQUE
APHERESIS-PREVENTS BONE MARROW SUPPRESSION