COMPLETE REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION
|GUARANTEED PASS.
Wilms Tumor
a type of cancer that starts in the kidneys. It is the most common
type of kidney cancer in children.
chemo interactions Oxaliplatin (Eloxatin and Transplatin)
Avoid cold foods & drinks - may trigger acute neuropathy
pediatrics Energy need for children receiving HSCT
use BMR (not RDA), use adjusted IBW for
obese Initial period - 1.6-1.8 x BMR
Maintenance - 1.4-1.6 x BMR
BMT Energy need for adult receiving HSCT
HB equation, adjusted Wt for >25% of IBW
- Initial period - 1.5 x BMR
- Maintenance - 1.3 x BMR
,causes of cancer cachexia
pain, depression, anxiety, hypoguesia, hyposmia, taste/food
aversions, chronic n/v, gi dysfxn, metabolic shifts, iatrogenic
causes
prognostic nutritional index
measures the risk a patient has of developing complications related
to malnutrition
PNI%= 158-16.6A-0.78TSF-0.2TFN-5.8DH
<40:low risk
40-49.99: intermediate risk
>/= 50: high risk
cytotoxic chemo agents
specific mechanisms of action, toxic to malignant cells and normal
host cells with high replication rate
include: alkylating agents, antibiotics, anyimetabolites, plant
alkaloids, misc agents
,chemo - hormonal agents
-used in treatment of hormonal-sensitive cancers
-stops or reduces body's ability to produce hormones
-interferes with /blocks hormone receptors
-substitutes chemically similar agents for the active hormones
that cannot be used by the tumor
-includes:
-selective estrogen receptor modulators (tamoxifen citrate,
toremifene citrate, raloxifene) BREAST
-aromatase inhibitors (anastrozole, letrozole, exemestane) BREAST
-progesterones (megace) BREAST, ENDOMETRIAL, RENAL CELL
& AS AN APPETITE STIMULANT
-antiandrogens (bicalutamide, flutamide) PROSTATE
-lutenizing hormone releasing hormone (LHRH) agonists
(leuprolide acetate, goserelin) PROSTATE
, chemo - bio (biological) therapies
-treatment to boost or restore the ability of the immune system to
fight cancer, infection and other diseases by inducing, enhancing
or suppressing an individuals own immune response. -aka
"immunotherapy"
-uses the body's immune system directly or indirectly to fight the
disease
-agents are classified according to their innate or adaptive effects on
the immune system and whether they specifically target the tumor
antigen
-monoclonal antibodies
-protein targeted therapies
-angiogenesis inhibitors
-cytokines
-cancer vaccine therapies
-radiopharmaceuticals
surgery with SB
gastroparesis, fat malab, hyperglycemia, fluid/elyte imbalance,
chyle leak, vit malab b12, a, d, e, k, iron, ca, zinc