Melissa's Cphon

Front 1

Severe, unrelenting mid-epigastric pain radiating to the back

Back 1

acute pancreatitis

Front 2

Severe RLQ pain

Back 2

typhilitis

Front 3

RUQ tenderness

Back 3

VOD

Front 4

Burning, aching in the epigstric area radiating to the umbilicus

Back 4

gastritis/ulcer

Front 5

LUQ pain, hard belly, bloated

Back 5

Splenic sequestration

Front 6

An acute or chronic inflammation of the pancreas

Back 6

Pancreatitis

Front 7

Risk factors for pancreatitis

Back 7

L-Asparagnase, mercaptopurine, steroids

Front 8

Classic signs of pancreatitis

Back 8

elevated urinary amylase and elevated serum lipase

Front 9

Chemo that has a risk for delayed/prolonged reaction

Back 9

Peg-Asparaginase

Front 10

Most common presentation of Spinal Cord Compression

Back 10

back pain

Front 11

Sickledex is not useful because

Back 11

it only shows that S cells are present

Front 12

Why do sickle cell pt have increased LDH and total Bilirubin

Back 12

Chronic destruction

Front 13

Treatment for priapism

Back 13

LOTS OF FLUIDS. May also give sudafed to vasodilate or call urologist to drain

Front 14

Never give demerol because

Back 14

it decreases seizure threshold

Front 15

Main nursing consideration for acute chest

Back 15

use incentive spirometary..usually inpatient and on PCA

Front 16

Hydroxuria will not prevent

Back 16

Stroke

Front 17

What type of disorder is Thalassemia

Back 17

Production problem

Front 18

Nursing considerations for Thalassemia

Back 18

Monitor blood counts (hgb 9-10)

Front 19

Effects of iron overload

Back 19

-heart and liver damage
-endocrine dysfunction

Front 20

Mixing Study

Back 20

normal serum mixed with patients to determine which factors, if any, are missing

Front 21

Virchow's Triad

Back 21

1. Alterations in normal blood flow

2. Injuries to the vascular endothelium

3. Alterations in the consistancy of blood (hypercoagulability)

Front 22

Evans syndrome

Back 22

Combination of hereditary hematological disorders

Front 23

When should patients with ITP be transfused

Back 23

Only in emergencies such as a life threatening bleed or surgery

Front 24

T/F
Steriods increase Platelets

Back 24

True

Front 25

T/F
Whin-Rho is contraindicated in Rh positive, non-splenectomized patients with ITP.

Back 25

False, it is indicated.

Front 26

Do not use Whin-Rho if recent

Back 26

EBV

Front 27

Why is gallstones a risk in patients with hereditary spherocytosis

Back 27

They are made of bilirubin from the RBC breakdown

Front 28

Presentation of Dyskeratosis Congenita (DKC)

Back 28

hyperpigmentation of skin, nail distrophy and oral leukoplakia

Front 29

What type of treatment provides the best prognosis in regards to brain tumors

Back 29

surgery

Front 30

Brain tumor treatment

Back 30

-surgery
-radiation
-chemo

Front 31

Radiation is not given to childer less than

Back 31

3

Front 32

Chemo is limited in treating brain tumors because

Back 32

cant cross the blood-brain barrier

Front 33

Treatment for Astrocytoma

Back 33

-GTR: surgery only
-partial resection: surgery, radiation and chemo (Vincristine and carboplatin)

Front 34

Incidence of Astrocytoma

Back 34

most common brain tumor

Front 35

Grading used for Astrocytoma

Back 35

WHO I-IV

Front 36

INI-1

Back 36

Genetic marker for ATRT

Front 37

ATRT prognosis

Back 37

very aggressive, only <10% cure

Front 38

Diffuse Intrinsic Pontine Glioma is located on

Back 38

the brainstem

Front 39

Which brain tumor diagnosis has trouble with sedation

Back 39

Pontine Glioma

Front 40

Symptoms of Ependymoma

Back 40

-headache
-nausea/vomiting
-increased ICP
-memory loss
-loss of appetite

Front 41

Prognosis for DIPG (Diffuse Intrinsic Pontine Glioma)

Back 41

-no treatment (months to live)
-Pontine gliomas (expires 12-14 months)

Front 42

Medulloblastoma/PNET is located

Back 42

Posterior Fossa
-medullo is cerebellar area (lower brain)
-PNET is cerebellar (upper brain)

Front 43

Genetics of Medullo/PNET

Back 43

Gorlin and Turcot Syndrome

Front 44

Sympotoms of medulloblastoma/PNET

Back 44

-N/V
-headache
-AM vomiting
-nystagmus
-gait

Front 45

Treatment for Medulloblastoma/PNET

Back 45

surgery
radiation

Front 46

Genetic disorder, broad face, rib malformations, predisposition to basal cell carcinoma

Back 46

Gorlin Syndrome

Front 47

Genetic disorder linked to FAP, cafe-au-lait spots, lipomas (fatty tumors), basal cell carcinoma

Back 47

Turcot Syndrome

Front 48

Treatment for Medullo/PNET`

Back 48

-resection
-RT
-chemo

Front 49

Signs of increased ICP

Back 49

-am headache
-lethergy
-N/V
-hydrocephalus
-ataxia
-blurred vision
-neck stiffness
-posturing
-pupillary changes
-Cushing's Triad

Front 50

Cushing's Triad

Back 50

-hypertension
-bradycardia
-abnormal breathing pattern

Front 51

Acute tumor lysis syndrome

Back 51

-Caused by rapid release of intracellular metabolites during the initial treatment of malignancies.
- Leads to: Hyperuricemia, Hypocalcemia and Hyperkalemia
-Flank pain, lethargy, n/v, oliguria, pruritis, tetany, altered LOC, renal failure (dialysis may be needed)

Front 52

Acute tumor lysis syndrome Management

Back 52

Hydration, alkalinization, allopurinol to reduce uric acid formation and promote excretion of by-products of purine metabolism
Exchange transfusions

Front 53

Hyperleukocytosis

Back 53

- WBC count > 100 can lead to capillary obstruction, microinfarction, and organ dysfunction
- Respiratory distress, Cyanosis, Neuro changes: altered LOC, agitation, confusion, ataxia, delirium

Front 54

Hyperleukocytosis Management

Back 54

Rapid cytoreduction by chemo with hydration, urinary alkalinization, leukophoresis or exchange transfusions may be needed

Front 55

Obstruction

Back 55

- Space occupying lesion located in the CHEST = airway compromise and respiratory failure
- Space occupying lesion in BRAIN = herniation
- Space occupying lesion in SPINAL cord = numbness, tingling, incontinence or retention

Front 56

Obstruction Management

Back 56

Airway protection and Rapid cytoreduction

Front 57

Overwhelming Infections

Back 57

Gram-negative sepsis can result in numerous complications:
DIC: Life-threatening hemorrhage in combination with thrombocytopenia, platelet count of 20 and leukocytosis, (leukocyte count of 100) can cause intracranial bleeding from increased viscosity of the blood.

Front 58

Space occupying lesion located in the CHEST may lead to

Back 58

Airway compromise and respiratory failure

Front 59

Space occupying lesion in BRAIN my lead to

Back 59

Herniation

Front 60

Space occupying lesion in SPINAL cord may lead to

Back 60

Numbness
Tingling
Incontinence or Retention

Front 61

Thrombocytopenia

Back 61

Platelets count of 20

Front 62

Leukocytosis

Back 62

leukocyte count of 100

Front 63

Nursing interventions for Daunorubicin/Doxorubicin

Back 63

- Cumulative maxium dose (450-550mg/m2)
- doses over 300mg causes irreversable cardiotoxicity
- Zenacard (dexrazone) is a cardioprotectant

Front 64

Nursing interventions for Carmustine (BCNU)

Back 64

- delayed nadar of 4-6 weeks.
- crossed blood/brain barrier.

Front 65

Nursing interventions for Vincristine

Back 65

- constipation
- neuropathy
- cumulative neurotoxicities