meds and labs oncology

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created 8 months ago by Akosua_Ruby
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updated 8 months ago by Akosua_Ruby
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1

normal WBC. could be high in what condition? low in what condition

  • 4,00-10,000 (4-10K/ml)
  • leukemia
  • bone marrow suppression from chemo, leukemia, lymphoma
2

what medication can be given when WBC is low?

  • filgrastim (Neupogen).
  • given subcut injections
  • given once/week or less depending on need
3

low blood values could be due to

bone marrow suppression from chemo, leukemia, lymphoma, GI bleed from colon cancer

4

what are the manifestations and treatment of low blood values?

  • fatigue, dizziness
  • oxygen therapy, epoetin alfa given subcut. may be blood transfusion depending on how low
5

platelet normal values? low due to?

  • 150,000-400,000
  • bone marrow suppression from chemotherapy, leukemia, lymphoma
6

manifestations and treatment of low platelets

  • risk for bleeding
  • no rectal, no IM, fall precaution. may need transfusion
7

carciembryonic antigen (CEA), kRAS are tumor markers for what cancer?

  • colon cancer
  • CEA can be elevated with other GI tract cancers
8

alpha-fetoprotein (AFP) are tumor markers for what cancer

liver and testicular

9

CA-125 is tumor marker for. CA-19-9 is tumor marker for____

  • ovarian
  • pancreatic, gallbladder
10

CA 15-3, CA 27-29, HER-2

breast cancer

11

PSA

prostate cancer

12

lactate dehydrogenase (LDH)

leukemia, lymphoma, testicular

13

hCG

testicular

14

uric acid

leukemia

15

what is the definitive diagnostic test for cancer?

biopsy

16

BRCA 1 or 2 gene mutation

significantly increases the risk of breast and ovarian cancer

17

hereditary non-polyposis colorectal cancer (HNPCC) gene mutation

significantly increases the risk of colorectal, endometrial, ovarian, stomach, and other cancers

18

filgrastim is given to stimulate what? what is it given for and how is it given? how many times?

  • stimulate WBC production
  • for neutropenia
  • subcut injection
  • given once/week or less often depending on need
19

epeotin alpha is given to stimulate the production of what? how is it given? how many times a week

  • RBC production
  • given subcut for anemia
  • once/wk or less depending on need
20

Gardasil is an HPV vaccine given for the prevention of what cancer? what is the age range

  • cervical cancer
  • 11-26
21

gabapentin is given for what?

neuropathic lymphedema pain

22

BCG infusion is given for what cancer? where is it infused?

  • for bladder cancer
  • infused directly into bladder