Shared Flashcard Set

Details

Cancer
Cancer
10
Nursing
Undergraduate 1
04/25/2018

Additional Nursing Flashcards

 


 

Cards

Term
TNM Staging
Definition
  • T: tumor size?
  • N: lymph nodes affected?
  • M: metastatic?
Term
Clinical Staging
Definition
Staging system that grades cancers 0-4; the higher the stage, the more severe
Term
Diagnostics
Definition
  • Different depending on the type of cancer
  • Biopsy/cytology
  • Chest X-ray (lung cancer)
  • Labs
  • Scans
  • Tumor markers: CEA (measure protein in the blood, but it nonspecific, not necessarily diagnostic)
Term
Goals of Treatment
Definition
  • Dependent on staging of cancer
  • Curative treatment: usually in very early stages; may go into remission (absence of any active cancers in the body)
  • Control treatment: attempt to control worsening or spread
  • Palliative treatment: making the patient comfortable before death
Term
Treatments
Definition
  • Surgery: remove all cancer cells possible, may also be preventative (ex. removal of breasts if genetic marker for breast cancer is found)
  • Radiation: damages the DNA of cancer calles to cause cell death, we are only able to give patients so much radiation before it is no longer safe
  • Chemotherapy: very strong cytotoxic chemicals, not very curative but has a good chance of remission, used to try and stop or slow progression, wreaks havoc on the rest of the body, must wear gloves to handle
Term
Side Effects of Chemotherapy
Definition
  • Alopecia (kills hair cells)
  • Vomiting
  • Fatigue
  • Symptoms of cell death (inflammatory response)
  • Cardiotoxicity
Term
Nursing Management
Definition
  • Patients will be extremely exhausted, must schedule naps
  • Neutropenic precautions
  • Antiemesis treatment
  • Assess for pulmonary edema (cells leak due to death)
  • Cardiotoxic symptoms (shortness of breath, activity intolerance, decreased cardiac output, etc.)
  • Reproductive effects (infertility, sterility, mutations)
  • Pain management
Term
Biologic and Targeted Therapies
Definition
  • Biologic therapies: alter the body's response to tumors
  • Targeted therapies: decrease the growth of the cancer cells specifically, targets the cancer while not targeting the rest of the body's cells
  • Both are rare due to cost
Term
Head/Neck Cancer
Definition
  • Risks: smoking, alcohol, lack of hygiene
  • Symptoms: hoarse voice, sore throat, dysphagia
  • Diagnosis: sometimes dental treatment, CAT scan, biopsy, laryngoscope
  • Treatment: staging, surgery, chemotherapy, radiation
  • Nursing management: enteral nutrition, swallow studies, speech therapy
Term
Lung Cancer
Definition
  • Risks: smoking, secondhand smoke, asbestos
  • Symptoms: nonspecific (malaise), cough, fatigue
  • Diagnosis: chest x-ray, sputum cytology, scans
  • Treatment: surgery, chemo, radiation, targeted therapy, education
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