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17 Cards in this Set

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  • Back
SE of radiation therapy (dependent on location):
sunburned look, N/V/D, stomatitis, esophagitis (Candida), dry mouth, bone marrow suppression, immunosuppression, sterility
SE of chemotherapy (lacks specificity):
alopecia, N/V/D, xerostomia, mucositis, stomatitis, constipation, paralytic ileus, GI bleeding, immunosuppression, bone marrow suppression, organ damage
What is extravasation?
Leakage of medication into the soft tissue...NOT the same as infiltration...causes disintegration of the flesh
Nursing interventions for a client on thrombocytopenic precautions:
1. Avoid IM injections
2. Avoid rectal temps
3. Soft bristled toothbrush
Neutropenic precautions:
1. Restrict young visitors
2. Limit visitors to healthy adults
3. No flowers in room
4. Ensure mask is worn by caregivers and visitors
5. No raw fruit / veggies
What is the most common oncologic emergency?
Hypercalcemia...too much calcium is released from bones and increases the serum calcium
s/s of hypercalcemia:
N/V, constipation, increased U/O, excessive thirst, weakness, lethargy, fatigue, kidney stones, bone pain, confusion, altered LOC, dehydration
Tx of hypercalcemia:
administration of NaCl, Lasix, biophosphates
What are the administration considerations w/ filgrastim (Neupogen)?
Wait at least 24h after last dose of chemo to administer
s/s of tumor lysis syndrome (TLS) - a metabolic emergency:
Metabolic acidosis
What s/s would be an indication a child has a CNS tumor?
Severe H/A and unexplained projectile vomiting that wakes a child up w/o accompanying nausea or GI distress...usually caused by increased ICP
If a Wilm's tumor is suspected the nurse should:
Refrain from palpating the ABD...could potentiate the breakup and spread of cancerous cells
A child admitted for confirmation of dx of acute lymphoblastic leukemia (ALL) is most likely to present w/ what s/s?
Bone pain and pallor
Interventions and treatment for a child w/ leukemia are based on what 3 physiologic problems?
1. Anemia
2. Infection
3. Bleeding thrombocytopenia
What condition is an ABD mass, usually confined to one side...usually found when the mother is bathing the baby or changing the diaper?
Wilm's tumor AKA nephroblastoma
What is the most common type of bone cancer and most commonly develops during a growth spurt?
Osteosarcoma
What type of cancer arises in the marrow and is usually not detected until the bone is weak enough to break?
Ewing's sarcoma