Show:
Normies
In the Hospital
Mixed IV Bag
Onc. Emergencies!
Complications of CA TX
100
4,500-10,500
What is the normal range of WBCs 
100
Lab result WBC 3,000
What is a call to the doctor
100

Nausea, vomiting, anorexia, weight loss, hair loss, mucositis/stomatitis and immunosuppression

What are side effects of chemotherapy
100

Caused by, cancer related, rapid cell metabolism and also by chemo treatments causing rapid cell death (overwhelming the kidneys). Manifests as fever, chills, fatigue and gouty arthritis. 


What is Hyperuricemia

100
Avoiding hot rollers, use wide tooth combs or soft brush for grooming, wear a hat to prevent heat loss and to protect scalp from sun. 
What is education/interventions for patient experiencing chemo induced "Alopecia". 
200

8.5 to 10.5 mg/dL (>12 no bueno)

What is a normal Calcium range 
200

Private room w/door closed

Stay in room unless leaving for procedure

Mask on pt during transport

Restrict sick visitors

Strict hand hygiene

No fresh plants/flowers/fruits/veggies

Change H2O in equipment daily (Humidifier/CPAP)

Dedicated equipment 


What are neutropenic precautions 
200

Weight loss, difficulty swallowing, unusual discharge, a sore that will not heal

What are symptoms of suspected cancer

200

Hyperuricemia

Hyperphosphatemia

Hyperkalemia

Hypocalcemia

What are the four hallmark signs of Tumor Lysis Syndrome

200

Swelling, redness, and the presence of vesicles on the skin at site of chemo infusion

What is "Extravasation" 

300

2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male)

What are normal uric acid levels
300
The nurse will ensure this is done before administering IV antibiotics to a patient with myelosupression and fever >100F
A blood culture 
300
Visit the farmers market, drink tap water, ride the bus, eat at the buffet, work in the garden, go to Walmart and eat sushi
What are activities to educate neutropenic patient to avoid. 
300

Swelling of face and arms; and engorgement of vessels from the upper body and head; nosebleeds and dyspnea

What is Superior Vena Cava Syndrome (SVCS)
300

Clean skin daily

Assess skin for signs of redness or peeling

Apply alcohol free lotion

Avoid constricting garments 


Education/Interventions for a client about the effects of radiation termed "Desquamation".  

400

Adult males: 14 to 18 gm/dL

Adult women: 12 to 16 gm/dL

What is a normal Hgb range
400

Petechiae, bruising, gums bleeding, nosebleed, coffee ground emesis, frank or occult blood in stools and urine are signs of 

Thrombocytopenia (Prepare to give platelets!)
400
Goal is to relieve/manage symptoms, can be provided in any setting (home, LTC, SNF), requires a prognosis of 6 months or less, palliative care not curative care


What is hospice 
400

New onset of intense, localized, persistent back pain, often accompanied by vertebral tenderness with valsalva maneuver. 

Motor weakness.

Sensory paresthesia and loss.

Change in bladder or bowel function.


What is Spinal Cord Compression 

400

Topical anesthetic can be used prior to meals, use non alcoholic, anesthetic mouthwash, limit spicy, salty and acidic foods 

Interventions/education for complication "Mucositis"

500
When this lab is below <20,000 the nurse will watch for bleeding. 
What is the platelet count. 
500

Your client has fatigue, pallor, dizziness, dyspnea and a Hgb of 6

What is Anemia (Prepare to give PRBCs!)
500

Reglan and Compazine 

What are antiemetics...other than Zofran
500

Hypercalcemia

Hyperuricemia

Tumor Lysis Syndrome (TLS)

Syndrome of inappropriate antidiuretic hormone (ADH) secretion


What are METABOLIC emergencies 
500

Use electric razor, soft bristled toothbrush, avoid blowing nose vigorously, and dentures fit well are all ________precautions for chemo induced __________

What are bleeding precautions for chemo induced thrombocytopenia