Cancer Lecture
Surgery
Multiple uses
- reconstructive
- palliative (pain control/comfort)
- preventative (prophylactic)
- remove tumor
- local incision (just tumor itself)
- wide excision (remove some lymph nodes as well)
- biopsy (pg. 335)
- excisional (small easily accessible)
- incisional (if tumor mass is too large to be removed)
- needle (take small piece of tumor out to study)
Nursing problems
- pain (assess pain level, cant treat until we know how severe it is)
- infection (noted by temp, WBC, assess incision)
- impaired skin (want it to heal)
- impaired body image (encourage communicative therapy/acknowledge discomforts)
- grief
Post op care plan (pg.
338) Radiation - burns
2 types
- internal (brachytherapy)
- external
Damage to
tissue
- inflammatory response/process
- WBC/platelets show up at site
- area gets red/tender
- area swells
Chemo is systemic
- side effects will be present all over the
body GI
- anorexia
- diarrhea/constipation
- stomatitis
, Oncologic emergencies Pg. 381
superior vena cava syndrome
(SVS)
- tumor in lungs that sits near vena cava
- as it grows it decreases amount of flow that travels through vena cava
- decreases cardiac output of heart
- little in little
out S&S
- edema
- right sided heart
failure Treatment
- get fluid off
Spinal cord compression
- cancerous tumor pressing on
spine S&S
- weakness
- paralysis
Treatment
- radiation (will get feeling back if successful)
Collaborative problems pg.
381 Hypercalcemia
- can be caused by bone destruction
Tumor lysis syndrome
- rapid release of all contents of cells
- when it gets to the kidneys it cant go through
Bone marrow transplant
- used to treat hematologic cancers
- have to kill off the immune system
- first 100 days after transplant is most important
- know if successful by if blood count
rises Reproductive cancers
Ovarian cancer
-difficult to detect
- growing/spreading by time of treatment
- don’t know you have it till its too
late VERY PAINFUL
Surgery
Multiple uses
- reconstructive
- palliative (pain control/comfort)
- preventative (prophylactic)
- remove tumor
- local incision (just tumor itself)
- wide excision (remove some lymph nodes as well)
- biopsy (pg. 335)
- excisional (small easily accessible)
- incisional (if tumor mass is too large to be removed)
- needle (take small piece of tumor out to study)
Nursing problems
- pain (assess pain level, cant treat until we know how severe it is)
- infection (noted by temp, WBC, assess incision)
- impaired skin (want it to heal)
- impaired body image (encourage communicative therapy/acknowledge discomforts)
- grief
Post op care plan (pg.
338) Radiation - burns
2 types
- internal (brachytherapy)
- external
Damage to
tissue
- inflammatory response/process
- WBC/platelets show up at site
- area gets red/tender
- area swells
Chemo is systemic
- side effects will be present all over the
body GI
- anorexia
- diarrhea/constipation
- stomatitis
, Oncologic emergencies Pg. 381
superior vena cava syndrome
(SVS)
- tumor in lungs that sits near vena cava
- as it grows it decreases amount of flow that travels through vena cava
- decreases cardiac output of heart
- little in little
out S&S
- edema
- right sided heart
failure Treatment
- get fluid off
Spinal cord compression
- cancerous tumor pressing on
spine S&S
- weakness
- paralysis
Treatment
- radiation (will get feeling back if successful)
Collaborative problems pg.
381 Hypercalcemia
- can be caused by bone destruction
Tumor lysis syndrome
- rapid release of all contents of cells
- when it gets to the kidneys it cant go through
Bone marrow transplant
- used to treat hematologic cancers
- have to kill off the immune system
- first 100 days after transplant is most important
- know if successful by if blood count
rises Reproductive cancers
Ovarian cancer
-difficult to detect
- growing/spreading by time of treatment
- don’t know you have it till its too
late VERY PAINFUL
