Card Set Information
AMS1T1 Lung Cancer
General info on lung cancer
1st of cancer-related deaths in U.S.A. (28%)
Leading cause of death for women
Biggest risk factor=smoking.
Common etiologies of lung cancer
Cigarette smoking (80-90% of lung ca)
Pipe & cigar smoking
Other inhaled carcinogens
pathophys of lung cancer
Most commonly bronchogenic
Slow growing – (8-10 years to reach 1 cm). by time it shows you're already screwed. Probably.
--Hypersecretion of mucus
--Desquamation of cells
--Basal cell hyperplasia
More pathophys of lung cancer
Non-small cell lung cancer (NSCLC) – 80%
Small cell lung cancer (SCLC) – 20%
Metastasis is via direct extension, circulation, & lymph system
Mets frequently to liver, brain, bones, scalene lymph nodes, adrenal glands
Early SnSs of lung cancer
Silent, asymptomatic, depends on location and type of ca.
Cough – persistent & w/blood tinged sputum
Late SnSs of lung cancer
Anorexia, N/V-->Weight loss
Tamponade (pressure on heart due to fluid build up between pericardium and myocardium). Mostly likely terminal at this point.
Diagnostic tests associated with lung cancer
Staging of Lung Cancer
TNM staging for NSCL
CSCLC – TNM not done because of aggressive nature, considered systemic & mets assumed.
Stages are considered
No current recommendations. Most likely terminal, so treatment is largly palliative.
Collaborative care for pt w/lung cancer
Nuring Intervension for pt w/lung cancer
Assessment – reassessment
Goals-realistic? palliative? acceptance?