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14 Cards in this Set
- Front
- Back
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What is a fever?
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101.5 or 101x2 at least one hr apart
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Is there a greater delay in the time to give abx after time of admission at night or in the day?
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night because low staff
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Complications of neutropenic fever?
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Oral herpes sores
Ecthyma gangrenosum (pseudomonas) Fungal pulmonary infxns necrotizing intercolitis (bacteria in bowel wall) |
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T/F: note when the last dose of myelosuppressive chemo is given in fever and neutropenia
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true
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Range of risk for Tumor Lysis Syndrome
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Begins before chemotherapy starts, lasts 48-72 hours after chemo starts
worry about purines and nucleotides etc |
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What drugs to combat hyperuricemia in Tumor Lysis Syndrome?
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allopurinol (inhibits xanthine oxidase)
rasburicase (uric acid to allantoin) |
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Hypercalcemia
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Paraneoplastic syndrome
related to PTH Tumor production of bone resorbing substances (lymphotoxin ant TNF) elevation of 1,25 vit D |
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does giving phosphate work for hypercalcemia in cancer?
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No
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If you have a space occupying lesion in brain or SC, what do you give?
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dexamethasone (limits swelling)*****
avoid phenothiazine (seizures) |
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Back pain
Radicular/neuropathic pain weakness Sensory loss of paresthesias Ataxia urinary retention Intractable emesis |
Epidural cord compression
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Facial swelling
Collateral circulation dysphagia dyspnea orthopnea |
SVC syndrome
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Tx of SVC syndrome
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elevate head and trunk
diuretics DO NOT work |
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Dyspnea
orthostatic symptoms Cough weakness Syncope |
Cardiac Tamponade
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EKG findings in cardiac tamponade
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alternating large small alrge small
"electrical alternans" |
