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17 Cards in this Set
- Front
- Back
SE of radiation therapy (dependent on location):
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sunburned look, N/V/D, stomatitis, esophagitis (Candida), dry mouth, bone marrow suppression, immunosuppression, sterility
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SE of chemotherapy (lacks specificity):
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alopecia, N/V/D, xerostomia, mucositis, stomatitis, constipation, paralytic ileus, GI bleeding, immunosuppression, bone marrow suppression, organ damage
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What is extravasation?
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Leakage of medication into the soft tissue...NOT the same as infiltration...causes disintegration of the flesh
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Nursing interventions for a client on thrombocytopenic precautions:
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1. Avoid IM injections
2. Avoid rectal temps 3. Soft bristled toothbrush |
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Neutropenic precautions:
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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 |
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What is the most common oncologic emergency?
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Hypercalcemia...too much calcium is released from bones and increases the serum calcium
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s/s of hypercalcemia:
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N/V, constipation, increased U/O, excessive thirst, weakness, lethargy, fatigue, kidney stones, bone pain, confusion, altered LOC, dehydration
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Tx of hypercalcemia:
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administration of NaCl, Lasix, biophosphates
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What are the administration considerations w/ filgrastim (Neupogen)?
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Wait at least 24h after last dose of chemo to administer
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s/s of tumor lysis syndrome (TLS) - a metabolic emergency:
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Metabolic acidosis
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What s/s would be an indication a child has a CNS tumor?
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Severe H/A and unexplained projectile vomiting that wakes a child up w/o accompanying nausea or GI distress...usually caused by increased ICP
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If a Wilm's tumor is suspected the nurse should:
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Refrain from palpating the ABD...could potentiate the breakup and spread of cancerous cells
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A child admitted for confirmation of dx of acute lymphoblastic leukemia (ALL) is most likely to present w/ what s/s?
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Bone pain and pallor
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Interventions and treatment for a child w/ leukemia are based on what 3 physiologic problems?
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1. Anemia
2. Infection 3. Bleeding thrombocytopenia |
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What condition is an ABD mass, usually confined to one side...usually found when the mother is bathing the baby or changing the diaper?
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Wilm's tumor AKA nephroblastoma
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What is the most common type of bone cancer and most commonly develops during a growth spurt?
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Osteosarcoma
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What type of cancer arises in the marrow and is usually not detected until the bone is weak enough to break?
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Ewing's sarcoma
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