Trick or Treat
What is the monoclonal antibody that treats her-2 neu positive breast cancer called?
Herceptin
What are two important reversal for childhood poisionings?
Acetylcysteine- acetaminophen
naloxone- opioids
flumazenil- benzodiazepines
gastric lavage
activated charcoal
What are the three types of radiation?
External
Internal sealed
Internal unsealed
What is the purpose of a sentinel lymph node biopsy?
Determine if cancer has spead via the lymphatic system
Surgical intervention for testicular cancer is a _______ this can cause a patient to become _______ if ______
Radical orchiectomy
infertile
both testes are removed
A patient recieving hormone therapy for breast cancer is complaining of bone pain, nausea, and hotflashes. What medication casues these side effects and how will you manage them?
Tamoxifen
Acetominophen and ondansetron
What is the shift UOP for the following CBI patient?
0700- bag is at 1200ml
1500- bag is at 200ml
Foley output at 1500- 1800ml
800ml
What does side effects of IVIG include?
Flu like symptoms
In the post operative period what are three things the nurse can do to prevent lymphedea?
maintain pink limb status
elevate arm AAT
maintain JP patency
encourage 2.5L fluid intake
Asess CMS
Cancer pain can be somatic, visceral, and neuropathic. What are some medications that could manage this? (name three)
Acetaminophen
Gabapentin
Oxycodone
exc...
What assessment data will the nurse see in a patient expereinceing tumor lysis syndrome? (4 answers)
Hyperuricemia
Hypephosphatemia
Hyperkalemia
Hypocalcemia
What are two chest tube complications and what should be at the bedside?
Removal from chest wall, disconnection from atrium
occlusive gauze, sterile water
What are five safety considerations with chemotherapy?
double glove
gown with cuff
two nurse check
leur-lock
spill kit
yellow waste bin
don't eat or drink when near chemo
double flush toilet x48hrs
monitor for IV infiltration
What are three breast reconstruction options and their biggest side effects?
Permanent implant- leaking, infection
DIEP- infection, graft loss
TRAM- hernia
What are the three stasges of cancer development?
Initiation
Promotion
Progression
What are six side effects of chemotherapy and how you would manage them?
1- N/V- antiemetics, eat when you can, fluids
2- mucositis/stomatitis/esophagitis- oral care, unirritating foods, topical anethetics
3- alopecia- scarf/wig, gentle hair care
4- cognitive changes- diary, to do list
5-C/D- immodium, stool softeners, diet changes
6- anorexia- small frequent high calorie meals
7- fatigue- rest, do essential tasks
In a patient is recieving IV chemotherapy what is the surgically implanted central line that can be used called?
IVAD
implanted vascular access device
What four things should the nurse assess before giving chemotherapy?
Labs (H/H, PLT, WBC, Electrolytes)
weight
side effects
VS
What should you educate your patient about prior to a mammogram?
Schedule two weeks post mense and reduce caffeine intake to minimize discomfort
do not wear deodorant, perfume, or powder on test day
CAUTION UP is an abbreviation for signs of cancer
What does the C and O stand for?
Changes in bladder and bowel habits
Obvious changes in warts or moles
What are the definitions for the following words?
Neutropenia
Leukopenia
Cell lysis
Thrombocytopenia
Anemia
Neutropenia- low neutrophils
Leukopenia- low WBC
Cell lysis- cell rupture or destruction
Thrombocytopenia- low PLT
Anemia- low RBC
What are two ways to promote body image development in toddlers?
encourage ADL involvement
avoid emotional blame or punishment
use correct body part names
minimize invasive procedures
least to most intrusive VS
How does chemotherapy work?
destroys or impairs the replication of cancer cells
normal cells are also effected
What are five ways to prevent lymphedema?
Answers vary
What are five ways to prevent cancer?
quit smoking
limit alcohol intake
healthy weight
workplace safety
limit stress
protect from UV
exercise
healthy diet