Cancer/Hemo

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Author:
Thenordski
ID:
194480
Filename:
Cancer/Hemo
Updated:
2013-01-22 17:27:08
Tags:
Cancer Hematology
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Description:
Cancer/Hemo review
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  1. Benign Tumor
    • - Localized neoplasm
    • - Slow growing/spreading
    • - capsulated
  2. Malignant Tumor
    • - Irregular borders
    • - non-capsulated
    • - fast growing/spreading
  3. Incisional Biopsy
    Surgical removal of small amount of tissue
  4. Excisional Biopsy
    Removal of entire tissue mass
  5. Needle Aspiration Biopsy
    Insertion of needle into tissues for fluid/tissue aspiration
  6. Frozen section biopsy
    Immediate evaluation of tissue sample during surgical procedure
  7. Sterotactic Biopsy
    • - Evaluation of lesions in breast/brain
    • - done by radiologist
  8. in situ (staging)
    • - Stage 0 cancer
    • - No invasion to other sites
  9. TNM (staging)
    • - Tumor - Node - Metastasis
    • - Classifies tumor by size and degree of spread
  10. Differentation (staging)
    Classifies tumor by mature cancer cells
  11. Well differentation staging)
    Closely resembles normal tissue
  12. Poor differentation
    Mostly abnormal cells
  13. Chemotherapy pt precautions
    • - "double bag double flush"
    • - neutropenic enviorment
  14. Chemotherapy side effects
    • - Depression of bone marrow
    • - Vesicant rx =  tissue necrosis
    • - Stomatitis
    • - Alopecia
    • - Neurotoxicity
    • - Infertility
  15. Nadir
    • - When WBC is at its lowest level
    • - Pt most at risk for infection
  16. Magic mouthwash
    • - Used in tx of stomatitis
    • - Antibiotic + Lidocaine + Antihistamine
  17. Stomatitis
    Inflammation of mucous membranes in mouth
  18. Alopecia
    Hair loss
  19. Biological response modifiers
    • - Rx used to stimulate the immune system
    • - Interferons
  20. G-CSF
    • - Colony stimulating factor
    • - stims proliferation of stem cells to neutrophils
  21. GM-CSF
    • - Colony stimulating factor
    • - stims proliferation of stem cells to macrophages
  22. Erthyropoietin
    • - Colony stimulating factor
    • - stims proliferation of stem cells to RBC's
  23. Interleukin-II
    • - Colony stimulating factor
    • - stims proliferation of stem cells to platelets
  24. Bone Marrow Biopsy
    - Needle used to aspirate bone marrow from illiac spine
  25. Blood transfusion nursing interventions
    • - max 2-4 hour infusion
    • - dilute with normal saline
    • - obtain baseline vitals
    • - if s/sx of reaction stop asap
  26. Febrile reaction (transfusion)
    • - most common s/sx = fever, chills, headache, back pain
    • - risk of reaction increases with each unit of blood
    • - tx = tylenol
  27. Urticarial reaction (transfusion)
    • - most common s/sx = hives
    • - associated with antigens in plasma
  28. Hemolytic reaction (transfusion)
    • - incompatible blood types
    • - blood cells break down other blood cells
    • - will evolve into shock and then death

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