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15 Cards in this Set

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  • Back
LUNG CANCER
LEADING CAUSE OF DEATH IN ALL CANCERS
-USUALLY FOUND TOO LATE
RISK FACTORS OF LUNG CANCER
-SMOKING/2ND HAND SMOKE
-INDUSTRIAL POLLUTANTS:ASBESTOS-MESOTHELIOMA
-NON WHITE>WHITE
SMALL CELL CELL LUNG CANCER
SCLC
NON SMALL CELL LUNG CANCER
NSCLC
S/S: LATER
-CHANGE IN COUGH (MAY BE CONFUSED W/ SMOKER'S COUGH)
-RECURRENT BRONCHITIS/PNEUMONIA
-HEMOPYTSIS
-CHEST PAIN
-WHEEZES
-WT. LOSS,FATIGUE,DYSPHAGIA
-PARANEOPLASTIC SYNDROME:AFFECTS OF TUMOR ON DIFFERENT ORGAN
-HYPERCALCEMIA
DIAGNOSTIC TESTS FOR LUNG CANCER
-CXR
-SPUTUM FOR CYTOLOGY
-FIBEROPTIC BRONCHOSCOPY
-MEDIASTINOSCOPY
-BX
-CT
-BONE SCAN
-LUNG CANCER SPREADS TO BONE,BRAIN,LIVER
AFTER PT COMES BACK FROM SURGERY
CHECK AIRWAY
CHECK GAG REFLEX
TREATMENT
SURGERY
CHEMO
RADIATION
PDT
SCLC
-USUALLY ADVANCED AT DIAGNOSIS
-AFFECTS BOTH SIDES OF CHEST
-USUALLY CHEMO/RT
-ANAPHYLACTIC RT TO CRANIAL
-METASTASIS-BRAIN,LIVER,BONE
TREATMENT FOR NSCLC
STAGE 1 AND 2 SURGERY
THEN CHEMO/RT
VIDEO ASSISTED THORASCOPIC SURGERY
=VATS
-WEDGE RESECTION
-LOBECTOMY
COMPLICATIONS OF LUNG CANCER
-SIADH
-SVC SYNDROME
-HYPERCALCEMIA
-SE OF CHEMO/ RT
CHEST TUBES
UPPER FOR AIR
LOWER FOR FLUID
DRAIN FLUID AND RE-ESTABLISH NEGATIVE PRESSURE
POSITION
HIGH FOWLERS
PNEUMONECTOMY
=REMOVAL OF LUNG
-RT LUNG MORE DANGEROUS TO REMOVE
-MONITORED FOR RESP DISTRESS
-POSITION AFTER PNEUMONECTOMY WITH
**GOOD LUNG UP**
-VENTILATE IT WELL
-NO CHEST TUBES NEEDED(FLUID NEEDED TO FILL UP EMPTY SPOT)