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15 Cards in this Set
- Front
- Back
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LUNG CANCER
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LEADING CAUSE OF DEATH IN ALL CANCERS
-USUALLY FOUND TOO LATE |
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RISK FACTORS OF LUNG CANCER
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-SMOKING/2ND HAND SMOKE
-INDUSTRIAL POLLUTANTS:ASBESTOS-MESOTHELIOMA -NON WHITE>WHITE |
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SMALL CELL CELL LUNG CANCER
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SCLC
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NON SMALL CELL LUNG CANCER
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NSCLC
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S/S: LATER
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-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 |
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DIAGNOSTIC TESTS FOR LUNG CANCER
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-CXR
-SPUTUM FOR CYTOLOGY -FIBEROPTIC BRONCHOSCOPY -MEDIASTINOSCOPY -BX -CT -BONE SCAN -LUNG CANCER SPREADS TO BONE,BRAIN,LIVER |
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AFTER PT COMES BACK FROM SURGERY
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CHECK AIRWAY
CHECK GAG REFLEX |
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TREATMENT
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SURGERY
CHEMO RADIATION PDT |
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SCLC
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-USUALLY ADVANCED AT DIAGNOSIS
-AFFECTS BOTH SIDES OF CHEST -USUALLY CHEMO/RT -ANAPHYLACTIC RT TO CRANIAL -METASTASIS-BRAIN,LIVER,BONE |
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TREATMENT FOR NSCLC
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STAGE 1 AND 2 SURGERY
THEN CHEMO/RT |
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VIDEO ASSISTED THORASCOPIC SURGERY
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=VATS
-WEDGE RESECTION -LOBECTOMY |
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COMPLICATIONS OF LUNG CANCER
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-SIADH
-SVC SYNDROME -HYPERCALCEMIA -SE OF CHEMO/ RT |
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CHEST TUBES
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UPPER FOR AIR
LOWER FOR FLUID DRAIN FLUID AND RE-ESTABLISH NEGATIVE PRESSURE |
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POSITION
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HIGH FOWLERS
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PNEUMONECTOMY
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=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) |
