SOLUTIONS GUARANTEE A+
✔✔Neoplasm v CA - ✔✔Neoplasia is the uncontrolled, abnormal growth of cells or
tissues in the body, and the abnormal growth itself is called a neoplasm or tumor. It can
be benign or malignant. ... The word "cancer" is often confused with neoplasia, but only
malignant neoplasms are truly cancers.
✔✔Neoplastic disease - ✔✔an abnormal growth of cells, also known as a tumor
✔✔Pts at-risk for neoplastic disease - ✔✔pts w/high WBC, large tumor burden,
dehydration, renal dysfunction
✔✔Prophylaxis for neoplastic disease - ✔✔allopurinol
✔✔This helps clear uric acid from the bl - ✔✔rasburicase
✔✔Care plan for pt w/neoplastic disease - ✔✔aggressive IV fluid hydration, strict I&Os,
tx electrolyte abnorms,
✔✔What to monitor in pt w/neoplastic disease - ✔✔serum chemistries, urine pH (Q6H,
once stableQ8H)
✔✔Hyperleukocytosis value - ✔✔peripheral WBC > 100,000/mm^3
✔✔Complications of neoplastic disease - ✔✔capillary obs, microinfarction, organ dysfx,
resp distress, cyanosis, neuro changes (altered LOC, agitation, confusion, ataxia,
delirium)
✔✔Ataxia - ✔✔Impaired coordination
✔✔ANC - ✔✔absolute neutrophil count, the # of WBCs that are neutrophils
✔✔There's an increased risk of overwhelming infx when ANC is - ✔✔< 500/mm^3
✔✔Infx protection in CA pts - ✔✔evaluate sites of infx, obtain cx, admin broad spectrum
immediately w/in an hr of fever
✔✔Cefepime drug class - ✔✔broad spectrum abx
✔✔Neupogen drug class - ✔✔colony stimulating factors
✔✔How to prevent hemorrhage - ✔✔prevented by platelet transfusions (< 20,000)
, ✔✔How to prevent anemia - ✔✔prevented by PRBC transfusion (< 8 Hgb)
✔✔4 effects of steroids - ✔✔mood changes, increased appetite, wt gain, high BP
✔✔You should avoid this while taking steroids - ✔✔salt-retaining foods
✔✔Why should salt-retaining foods be avoided while taking steroids - ✔✔Prednisone
may cause sodium (salt) and fluid retention, which can raise blood pressure and
contribute to swelling
✔✔Disease of the bone marrow and lymphatic sys - ✔✔leukemia
✔✔ALL - ✔✔acute lymphoblastic leukemia
✔✔Describe ALL - ✔✔most common childhood CA, boys > girls, whites/hispanics,
survival 80%
✔✔Most common childhood CA - ✔✔ALL
✔✔AML - ✔✔acute myelogenous leukemia
✔✔Describe AML - ✔✔boys = girls, survival rates vary dramatically based on sex, race,
constitutional characteristics of disease
✔✔Arise from the lymphoid and hematopoietic sys, begins in immune sys -
✔✔lymphoma
✔✔Leukemia v lymphoma - ✔✔Leukemia and lymphoma are both forms of blood
cancer. The main difference is that leukemia affects the blood and bone marrow, while
lymphomas tend to affect the lymph nodes.
✔✔Hodgkin lymphoma age group - ✔✔15-19 yo
✔✔Hodgkin lymphoma often spreads to - ✔✔spleen, liver, bone marrow, lungs,
mediastinum
✔✔Describe physical characteristics of Hodgkin lymphoma - ✔✔enlargement of lymph
nodes that are movable in the supraclavicular and cervical area
✔✔Other names for non-Hodgkin lymphoma - ✔✔lymphoblastic, Burkitt, or large cell
✔✔Describe non-Hodgkin lymphoma - ✔✔Favorable prognosis associated with young
age, low stage w/o mediastinal involvement, low tumor burden, and good response to
initial therapy