Multiple Myeloma
Leukemia
Lymphoma
Immunology/
Immunotherapy
Immunotherapy
Chemotherapy Administration
Side Effects of Chemotherapy
Chemotherapy
Spill
Spill
100
Fatigue, bone pain, recurrent infections, and renal impairment.
What are the most common presenting symptoms of multiple myeloma?
100
Younger age, elevated WBC, frequent infections, petechiae, malaise
What are the most common presenting symptoms of leukemia?
100
Unexplained weight loss, high fever, and night sweats are characteristics of what in lymphoma patients.
What are B symptoms?
100
Essential for inducing a generic immune response to antigens.
What is innate immunity?
100
Type of PPE to be worn any time there is a risk of splashes or spills, including disposal of contaminated body fluids.
What is eye/face shields?
100
Class of drugs that can cause cardiac dysfunction and recommends an ECHO or MUGA prior to tx.
What are anthracyclines?
100
Renders compound inert or inactive.
What is deactivation?
200
Type of myeloid cell that is the root of the disease in multiple myeloma.
What is a plasma cell?
200
These are preferred access for a newly diagnosed leukemia patient.
What is a central line (DL PICC, Port a cath, etc)?
200
Swollen lymph nodes along your neck, armpits, or groin; rashes; fever; unexplained weight loss.
What are the most common symptoms of lymphoma?
200
Secondary line of defense and involves immunologic memory, specificity, and collaboration of B cells and T cells.
What is adaptive immunity?
200
When 2 chemotherapy competent RNs independently check multiple things prior to administering chemotherapy such as patient labs, MD orders, consent, integrity of drug, etc.
What is a double check/2 RN independent check?
200
This chemotherapy can cause ocular toxic reactions and requires steroid eye drops.
What is cytarabine?
200
A drug that meets one or more of the following: carcinogenicity, teratogenicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, etc.
What is a hazardous drug?
300
Increasing age, Male gender, African-American race, Positive family history, MGUS
What are risk factors for developing multiple myeloma?
300
DIC and hyperfibrinolysis are risks for this patient population.
What is APL?
300
Exposure to Epstein-Barr Virus (EBV), AYA, male, Family HX, HIV or weakened immune system.
What are risk factors for developing Lymphoma?
300
Type of white blood cell that is the first line of defense in the immune system.
What is a neutrophil?
300
What is Mosteller formula?
300
Vesicant that is fatal if given intrathecally.
What is Vincristine?
300
Destroys microorganisms.
What is disinfection?
400
This side effect is common across most pharmaceutical drugs that are used to treat multiple myeloma.
What is peripheral neuropathy?
400
Advise patient to go to emergency department immediately, do not take acetaminophen at this time.
What is the preferred intervention a triage nurse will advise when a patient verbalizes having a fever of 100.4F, chills, and malaise?
400
B lymphocytes (B Cell), T lymphocytes (T Cell), and Natural Killer cells (NK)
What are the three major types of lymphocytes that lymphoma affect?
400
Elimination, Equilibrium, Escape
What is immunoediting?
400
What is absolute neutrophil count formula?
400
Antitumor antibiotic that can cause pulmonary toxicities and recommends a PFT.
What is bleomycin?
400
Removes HD residue.
What is decontamination?
500
Criteria that is used for diagnosing multiple myeloma.
What is CRAB criteria?
500
This syndrome is described by unexplained fever, weight gain, respiratory distress, interstitial pulmonary infiltrates, hypotension, pleural or pericardial effusions and hepatic, renal, or multi organ failure.
What is Retinoic Acid Syndrome?
500
Fertility concerns/preservation, socio-economic status
What are nursing considerations for childbearing aged newly diagnosed lymphoma patients?
500
HSR, CRS, latent infection re-activation, infection, TLS
What are some general nursing considerations when you are taking care of a patient who is getting a mAb?
500
A device that mechanically prohibits the transfer of environmental containments into the system and the escape of HD or vapor concentrations outside of the system.
What is a closed system transfer device?
500
Alkylating agent that requires frequent bathing immediately following and during first 24 hours after administration as it is secreted through sweat/skin.
What is thiotepa?
500
Controlling body for occupational exposure to hazardous drugs.
What is OSHA?