Lab Values
ANC stands for....
Absolute neutrophil count
Accuracy of chemotherapy dosages must be equal or less to which percent
10%
Can also be called Targeted therapy. Focuses on cancer cells and their formation process
Biotherapy
Name 3 signs and symptoms of childhood cancer
fever, headache, fatigue, unintentional weight loss, pain, mass, bruising, pallor
What are the two common types of leukemia
ALL- Acute Lymphoblastic Leukemia
AML- Acute Myeloid Leukemia
An ANC less than what makes someone severely neutropenic?
500
If a patient is running a 100mL bag of ciplatin that should be administered over 1 hour, what rate should it run at?
130mL/hr
Treatment that distructs cells but is not specific to cancer cells
Chemotherapy
What are the 4 values tracked in the X model
H&H, WBC, & Platelets
What are the two main risk factors associated with leukemia prognosis
Age at diagnosis
WBC upon diagnosis
How long, post treatment does it usually take for a patient's Hemoglobin, WBC and Platelet count to drop?
7-10 days
you're running a 24hr bag of methotrexate. Total volume of 2000mL, broken up into 2 bags (12hr each) what is your calculated rate of infusion?
85.8 mL/hr
name 2 of the 3 supportive care drugs frequently used with chemotherapy regimens
What temperature value is considered a fever in neutropenic patients
100.4 or greater
Which system does Lymphoma primarily affect?
The Lymphatic system- Lymph nodes, spleen, bone marrow
What is the usual urine specific gravity required to begin administering chemotherapy
less than or equal to 1.010
Mesna, including the flush should be administered over how long?
15 minutes
Name 2 common diagnostic tests used when cancer is suspected
X-ray, CT scan, MRI, Ultrasound, PET scan, Biopsy, LP
Name 3 interventions that should be done when a patient is admitted with a neutropenic fever
Access port, administer antibiotics within 1 hour of arrival to ER, Blood cultures, chest x-ray
Name one common type of solid tumor
Neuroblastoma, wilms tumor, brain tumors, Rhabdomyosarcoma, osteosarcoma
What is the usual threshold to transfuse platelets or PRBCs
PLT- <20
HGB- <7
True or False: It is OK to increase my rate if my chemo is not going to finish on time?
True! As long as it is within 10%
Phase IV
True or false: If a patient cannot do an oral temperature, a rectal temperature should be obtained for an accurate reading
FALSE- Never get a rectal temp/perform something invasive on a heme onc patient
Name the 3 treatments associated with solid tumors
Removal of primary tumor
Chemotherapy
Radiation