MERGE oncology
liver cancer
green
lung cancer
white
leukemia
orange
breast cancer
pink
kaposis sarcoma
purple
aids
red
plant alkaloid
periwinkle plant
5 - 10% risk of cancer
genetics
5 - 10% risk of cancer
genetics
nephroblastoma
2 - 4 y/o
testicular cancer
15 - 35 y/o
warm, flushing, metallic taste, rusty, salty is caused by
dye
4 - 5 mm3
RBC
99% of cancer in female
breast cancer
backwash valve of gastric contents
achalasia
<4M
leukemia
5 - 10 T
wbc
fever during BT
pyrogenic
>5M mm3
>erythrocytosis/ polycythemia
150T - 400T
platelete
PSA <4ng/dl
normal
PSA 5 - 10
BPH
PSA >10 ng/dl
prostatic carcinoma
tumor markers for liver and testicle cancer
alpha - feto protein (AFP)
tumor markers for testicle and ovarian
HCG
CA 125
cervix and ovary
CA 19 -9
GIT
CA 15-3
breast cancer
NSE (neurospecific enolase)
abdominal enlargement
CEA (carcino embryonic antigen
lung, cervix, breast, colon, pancreas, gastric
3D image of internal structure, supine and small pillow
CT scan
tunnel vision, put ear pluds
MRI
deeper structure metabolism, use Dye (IV radioisotope), avoid sugar 24 hr prior to injury. use conscious sedation if pt is claustrophobic
PET scan
injection of blue dye in clubbing of the toes, it determines regional lymphnode involvement, metastasis and treatment effectiveness
lymphangiography
gold standard dx for pt w/ cancer. cell differentiation, gistopathology, invasive
bioosy
common complication of biopsy
bleeding
adenoma
benign
neuroma
benign
cannot be assess tumor
tx
To
no pt tumor
tumor stage zero, epithelial lining, tymor situ
tis
1 cm - <2cm
T1
2 - 5 cm
T2
>5 - <6 cm
T3
>6cm
T4
Treatment modalities for cancer health teaching. what does KUCCO means
knowledge, understanding, compliance, control
may cause by oil, bacteria, IV catheter, fat, long bone fracture, amniotic fluid, blood clot, debris، tumor
pulmonary embolism
meds to prevent aspiration
atropine sulfate
anxiolytic، antiemetic, antohistamine, narcotic, analgesic
Preop
monitor VS
anesthesiologist
procedure done to remove a part of a lung
lobectomy
malignant hyperthermia
hereditary
Mgt for benign breast cancer
close incision
process in which tissue is removed from the suspected body part and is taken to a laboratory. It is a diagnosis
Frozen section cold biopsy
thyroid cancer
female
mimics hyperthyroidism (Grave's disease)
thyroid cancer
spinal anesthesia
L1 - C1
common for boys ages 5 -20, worsens at night. Mgt: amputation/debulking
bone cancer
external radiation. In the process, mostly tumours inside the body are irradiated through the skin from outside the patient.
teletherapy
earliest sign of skin inflammation
erythema
s/s includes fatigue, alopecia, nausea, vomiting, stomatitis, loss of smell cystitis
teletherapy
contraindicated to pregnant woman, children, nursing mothers
teletherapy
internal radiation, short distance
brachytherapy
white pupil/cat's eye reflex
retinoblastoma
destroy activity of thyroid gland. makes body fluid radioactive (flush 3x)
sodium iodine capsule
not permitted: pregnant, childrens, noxious
radiation
what do pt undergo when given antimotility drug w/ CBR and w/o bathroom privileges (12 -24 hr)
radiation
distance should be 3 - 6 ft and exposure is 30 mins/8H and 30 mins/day for visitor
radiation
alkalyting: increase fluid intake
cytoxan
antimetabolites: hepatotoxic
methotrexate
antitumor antibiotic: discolored urine, arrhythmia
doxorubicin
mitotic inhibitor: Neurotoxic
oncovin (vincristine)
sterioid; cushing syndrome
Prednisone
hormonal: antiestrogen
tamoxifen
meds for cancer in esophagus, stomach, colon, liver, skin
5 FU fluoro uracil (adrucil)
report when taking 5 FU
fluke
s/s of vincristine
constipation
s/s: hypeerglycemia, HPN, fluid retention, weight gain, PUD, cataract, osteoporosis. may cause cushing- cushion at long term
steroid: prednison
taken PO 5-10 yrs, s)s: menopause, hot flashes, irritable
hormonal: tamoxifen
bone pain means effectivity thus mgt involve pain scale
tamoxifen
HPV vaccine
9 y/o
intravesical inyo the bladder via urinary catheter
BCG
boost immune system/stimulate/enhance
immunotherapy
s/s: fever chills fatigue
immunotherapy
for leukemia pt: T cell engineered therapy
gene therapy
a/e: capillary leak syndrome, fever, pulmonary edema
immunotherapy
for breast cancer
monoclonal
lung cancer
tarceva
acute myoloid leykemia (AML)
gleevec
thrombus, altapresyon (bp), rash, gray hair, elevated liver enzyme, Tai -Tai (violent diarrhea)
targeted therapy
prolong life/replace damage organ
stem cell/organ transplantation
self
autograft
other people
allograft
animal
xenograft
twin/syngeneic
isograft
creatinine
.6 -1.6 mg/dl
BUN
10 -20
urine output
700 cc/24 hr
urine output for hr
30 cc
contra to pt w) thrombocytopenia, bleeding, HR d'se
acupuncture