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Cancer
med surge
43
Health Care
Undergraduate 4
11/09/2007

Additional Health Care Flashcards

 


 

Cards

Term
Chemo Administration Guidelines
Definition

Wear double gloves (latex or nitrile)

Change if torn or Q30 min for latex - 60 min for Nitrile

Dispose in plastic bag and chemical waste container

Term

DYSPLASIA

Definition
ALTERATION IN THE SIZE, SHAPE AND ORGANIZATION OF DIFFERENTIATED CELLS
Term
CONTACT INHIBITON
Definition
BODY'S ABILITY TO PRODUCE ONLY THE AMOUNT OF CELL NEEDED
Term

ENCAPSULATIED CRITERIA FOR MALIGNANT

Definition

M - RARELY

 

Term

DIFFERENTIATED CRITERIA FOR MALIGNANT

Definition

M - POORLY

 

Term

METASTASIS CRITERIA FOR MALIGNANT

Definition
FREQUENT
Term
RECURRENCE CRITERIA FOR MALIGNANT
Definition
FREQUENT
Term

VASCULARITY CRITERIA FOR MALIGNANT

Definition
MODERATE/MARKED
Term
MODE OF GROWTH CRITERIA FOR MALIGNANT
Definition

EXPANSIVE - INFLITRATIVE

Term
CELL CHARACTERISTICS CRITERIA FOR MALIGNANT
Definition

ABNORMAL - DO NOT RESEMBLE PARENT CELL

Term
ENCAPSULATIED CRITERIA FOR BENIGN NEOPLASMS
Definition
USUALLY
Term
DIFFERENTIATED CRITERIA FOR BENIGN NEOPLASMS
Definition
PARTIALLY
Term
METASTASIS CRITERIA FOR BENIGN NEOPLASMS
Definition
ABSENT
Term
RECURRENCE CRITERIA FOR BENIGN NEOPLASMS
Definition
RARELY
Term
VASCULARITY CRITERIA FOR BENIGN NEOPLASMS
Definition
SLIGHT
Term
MODE OF GROWTH CRITERIA FOR BENIGN NEOPLASMS
Definition
EXPANSIVE
Term
CELL CHARACTERISTICS CRITERIA FOR BENIGN NEOPLASMS
Definition

NORMAL - SIMILAR TO PARENT CELL

Term

THEORETICAL MODEL OF CANCER DEVELOPMENT

Definition
INITIATION - PROMOTION - PROGRESSION
Term
INITIATION
Definition

INITIAL STAGE OF CANCER DEVELOPMENT

SINGLE STRAND MUTATION -

CHANGES IN DNA OF NORMAL CELL ALTERING GROWTH AND FUNCTION

REVERSIBLE AT THIS STAGE

Term
PROMOTION
Definition

CARCINOGENS (SMOKING, SUN, ETC)

SECOND STAGE OF CANCER DEVELOPMENT

CELLS UNDERGO ADDITIONAL MALIGNANT CHANGES

REVERSIBLE

Term
PROGRESSION
Definition

FINAL STAGE OF CANCER DEVELOPMENT

CONTINUED GROWTH OF MALIGNANT PHENOTYPE

NOT REVERSIBLE

Term
EMBRYONAL TUMORS
Definition
TUMORS THAT ARISE FROM EBRYONIC TISSUE (BLASTOMAS)
Term
LYMPHOMAS
Definition
TUMORS THAT ARISE FROM THE LYMPHATIC SYSTEM
Term
LEUKEMIAS
Definition
TUMORS THAT ARISE IN BLOOD FORMING ORGANS (BONE???)
Term
SARCOMAS
Definition

TUMORS THAT ARISE IN CONNECTIVE AND SUPPORTIVE TISSUES

(BONE, CARTILAGE, NERVE, FAT)

Term
CARCINOMAS
Definition

TUMORS THAT ARISE FROM EPITHELIAL TISSUE

(SKIN, LINING OF BODY CAVITIES)

Term
ADRENOCARCINOMAS
Definition

TUMORS THAT ARISE FROM GRANDULAR TISSUE

(BREAST OR PROSTATE)

Term
GRADING
Definition

HISTOLOGICAL ANALYSIS

AMOUNT OF DIFFERENTIATION

CELLULAR MATURITY AND CHARACTERISTICS

0 = NORMAL 4 = VERY APAPLASTIC (UNDIFFERINTIATED)

Term
STAGING
Definition

EXTENT OF DISEASE

AMOUNT OF PROLIFERATION (METASTASIS)

IN SITU - ONLY MICROSCOPIC VISIBILITY

1) CLINICAL STAGING - S/S - IMAGING

2) SX STAGING - SX INSPECTION

3) PATHOLOGIC STAGING - BIOPSY (MOST DEFINITIVE)

Term
S/E OF EXTERNAL RADIATION
Definition

SKIN CHANGES (RED, WHEAPY BLISTERS - LEATHERY SKIN)

FATIGUE

Term

SEALED INTERNAL RADIATION

Definition

RADIATION PUT INTO DEVICE THEN PLACED IN BODY

PT IS NOT RADIOACTIVE

Term
UNSEALED RATIATION
Definition

PILL OR LIQUID INGESTION OF RADIOISOTOPE

PT (BODY FLUIDS) IS RADIOACTIVE

 

Term

SAFETY PRECAUTIONS FOR UNSEALED INTERNAL RADIATION

Definition

TIME - DISTANCE - SHIELDING 

PRECAUTIONS FOR 24 - 36 HOURS

PRIVATE LEAD LINED ROOM

OPEN COMMUNICATION

LIMIT EXPOSURE TO 15 MIN OR LESS

ROTATE NURSES

RESTRICT VISITORS - ISOLATION

DETERMINE RADIATION RIKS W. GEIGER-MILLER DEVICE

FLUSH FLUIDS TWICE

LINENS - BAG UNTIL RADIATION LEVEL DETERMINED THEN WASH

 

Term

S/E OF CHEMO

Definition

INTEG: ALOPESIA, NAIR RIDGING, HYPERPIGMENTATION, PHOTOSENSITIVITY, RASH, STOMATITIS

GI - TASTE ALTERATIONS, CONSTIPATION, N/V/D

NEURO: NUMBNESS/TINGLING, JAW PAIN, FOOT DROP, OTOTOXICITY, HYPERACTIVITY/DEPRESSION, FATIGUE

METABOLIC: HYPO GLYCEMIA, NATREMIA, MAGNESEMIA - HYPER GLYCEMIA, URICEMIA

RESP: DEC O2 SATS, PLEURACY, SOB

CARDIACT: CHF

MUSK/SKEL: MYELOSUPPRESSION, BONE MARROW TOXICITY

HEMAT: EVERYTHING "PENIA", RISK FOR BLEEDING

GU: RENAL PROBLEMS - SEXUAL DYSFUNCTION

Term
WHO'S 3 STEP ANALGESIC LADDER
Definition

START WITH LEAST INVASIVE

 

MILD PAIN - NONOPIOID - + ADJUVANT

MODERATE PAIN - WEAK OPIOID

SEVERE PAIN - STRONG OPIOID, + ADJUVANT

Term
WHO'S ADJUNCTIVE AGENTS
Definition

NSAIDS

ANTIEMETICS -

ANTIDEPRESSANTS (amitriptyline)

TRANQUILIZER - LORAZEPAM

 

POTENTIATES EFFECTS OF ANALGESICS - GATE THEORY TO PAIN CONTROL

 

 

Term

DIFFERENCE BETWEEN TOLERANCE AND ADDICTION

Definition

ADDITION - PSYCHOLOGICAL NEED

TOLERANCE - PHYSIOLOGICAL NEED

Term
MOST APPROPRIATE ROUT OF PAIN MED ADMINISTRATION W/ CANCER PTS.
Definition

ORAL - ACTIQ (REMOVE IF SLEEPY, NAUZEATED OR DIZZY)

PATCH

TOPICAL

TRANSDERMAL

OTHERWISE -IM OR IV

 

Term
7 warning signs of cancer
Definition

C HANGE IN BLADDER OR BOWEL HABBITS

A SORE THAT DOESNT HEAL

U NUSUAL BLEEDING OR DISCHARGE

T HICKENING OR LUMP

I NDIGESTION OR DIFFICULTY SWALLOWING

O BVIOUS CHANGE IN WART/MOLE

N AGGING COUGH OR HOARSNESS

Term
CARDIAC TAMPONADE
Definition

CANCER COMPLICATION

S/S: PULSAS PERIDOXIS - HR FADES ON INSPIRATION - WIDENING - PULSE PRESSURE - MUFFLED HEART SOUNDS - DECREASED VOLTAGE ON ECG - JVD - HYPOTENSION - TACHYCARDIA

 

TX: PERICARDIAL TAP

 

 

Term
SUPERIOR VENA CAVA
Definition

S/S - (SUPERIOR) - CHEST UP

DYSPNEA - TACHYPNEA - COUGH - JVD HIARSNESS, STRIDOR, FACIAL AND PREORBITAL EDEMA

 

TX: RADIATION BEST OPTION THEN CHEMO

 

NI:  DO NOT RAISE LEGS - BODY CANT CIRCULATE BLOOD

 

Term
TX FOR HYPERCALCEMIA
Definition

D IURETICS

A AMBULATE

N ORMAL SALINE

C ORTICOSTEROIDS

E FFECTIVE OSTEOCLASTIC INHIBITORS (ADG)

 

OSTOCLASTIC INHIBITORS:

- (PAMIDRONATE) AREDIA

- (ETIDRONATE) DIDRONEL

- GALLIUM NITRATE) GANITE

Term
Graft vs Host
Definition

Bone Marrow transplant reaction

Stem cells reject the parent cells

S/S 

S TOMATITIS

H IGH FEVER

A NOREXIA/NASUEA/DIARRHEA

R ASH

P POSSIBLE LIVER DYSFUNCTION

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