Lyte my Fire
A patient with NSCLC is admitted with altered mental state & vomiting. Serum sodium is 118 mEq/L, urine sodium is 30 mEq/L, and potassium is 3.0 mEq/L.
The appropriate immediate nursing intervention is...
What is implementation of seizure precautions?
What is water restriction?
JV distention
Edema of the face and periorbital area
Edema of the upper chest and extremities
What is SVC syndrome?
These drugs are commonly used to prevent or reduce the severity of hypersensitivity to chemotherapy.
What are:
Dexamethasone,
Diphenhydramine,
and an H2 antagonist
This is the most common cause of sepsis in patients with cancer.
What is Febrile Neutropenia?
This condition is characterized by accelerated coagulation and the formation of excessive thrombin
What is disseminated intravascular coagulation (DIC)?
The cancer most often associated with SIADH is:
A. Colon cancer
B. Small cell lung cancer
C. Prostate cancer
D. Head & neck cancer
What is SCLC?
Skeletal pain, nephrolithiasis, abdominal discomfort, and altered mentation
(bones, stones, moans and groans)
What are the clinical symptoms of hypercalcemia?
The most common presenting symptom of spinal cord compression in patients with cancer
What is neck and back pain?
The first action to take should a patient show signs of an allergic/hypersensitive reaction to IV chemotherapy.
What is stop the infusion?
Organ dysfunction, lactic acidosis, oliguria, and acute mental status changes
What are the signs & symptoms of sepsis?
Platelet transfusion is used to treat DIC to:
a. Increase RBCs and clotting factors
b. Inhibit thrombin formation, or
c. < hemorrhage and convert prothrombin to thrombin
What is C?
This group of drugs have are especially likely to cause cellular damage or tissue destruction if they leak into extravascular tissue.
What are vesicants
This condition is associated with hyperkalemia, hyperphosphatemia, hypocalcemia and hyperuricemia.
What is Tumor Lysis Syndrome (TLS)?
Beck's triad:
> low BP,
increased JVD,
distant heart sounds
What are symptoms of cardiac tamponade
This type of reaction presents with difficulty breathing, dizziness, hypotension, cyanosis and loss of consciousness, which may lead to death.
What is anaphylaxis?
ANC < 1000/mm3 with a sustained temperature of 38o C (100.4o F)
What is the definition of febrile neutropenia?
This/these sign(s) indicate your patient may have DIC
1. petechiae
2. hematuria
3. pleural friction rub
What are 1-3? (All)
What tumor marker is associated with ovarian cancer?
CA 125
These solid tumors commonly metastasize to the bone, placing a patient at higher risk for hypercalcemia.
What are breast, lung and prostate cancers?
Two cancers that are commonly seen in Superior Vena Cava Syndrome
What are Non-Hodgkin Lymphoma and Lung Cancer?
This type of agent is frequently linked to HSRs:
a. Platinum
b. Methotrexate
c. 5-FU
d. Vincristine
What is a. platinum
1. HR > 90 bpm
2. Temperature > 100.40 F or < 96.80 F
3. WBC > 12,000/mm3 or < 4,000/mm3
4. Respiratory rate > 20 breaths/min
What are the manifestations of systemic inflammatory response syndrome (SIRS)?
or
What is sepsis?
A platelet count below this result, would indicate thrombocytopenia
What is 75,000/mm3
Serum sodium < 130 mEq/L
decreased mentation, disorientation, confusion
nausea, vomiting and diarrhea
What are the signs and symptoms of Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
Drugs : Calcitonin, diuretics and bisphosphonates
What is used to treat hypercalcemia?
Name the components of Cushing's triad, indicating emergent late signs and symptoms of increased intracranial pressure.
bradycardia, respiratory depression and hypertension
A patient is having a hypersensitivity reaction.
He is alert.
HR is 116, BP is 88/40, and the patient is experiencing significant dyspnea.
What will you do?
Oxygen
emergency meds
Provider notification
This patient is at high risk for fever:
A Has an ANC of 2000/mm3
B. Has a platelet count of 100,000/mm3
C. Has hepatic metastasis
D. Is 3 weeks post-operative
What is C?
A patient is found to have schistocytes on peripheral smear, renal failure, anemia, and thrombocytopenia.
Thrombotic Thrombocytopenia Purpura (TTP)
Tense forearm
Sensory or temperature changes in extremity
Pain out of proportion to physical findings
Pain on passive stretching of digits
Vascular compromise
What are signs of potential compartment syndrome?