specific cancers and nursing interventions 2

Helpfulness: 0
Set Details Share
created 9 months ago by Akosua_Ruby
5 views
updated 9 months ago by Akosua_Ruby
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

kidney cancer characteristics

  • arise from cortex or pelvis
  • renal carcinoma most common
  • twice as common in males (50-70)
2

risk factors of kidney cancer

  • smoking
  • family history, obesity, HTN
  • asbestos and gasoline exposure
  • cystic kidney with ESKD
3

clinical manifestations kidney cancer

  • hematuria
  • flank pain
  • palpable mass in flank or abdomen
  • weight loss, fever, HTN, anemia
4

diagnostic test of kidney cancer

  • CT, US
  • angiography, MRI, renal biopsy
5

kidney cancer collaborative care

  • smoking cessation, healthy weight
  • controlling bP
  • reducing exposure to toxins
6

surgical treatment of kidney cancer

  • partial or radical nephrectomy
  • ablation
  • radiation and chemo
  • biologic and targeted therapy
7

what is the most common bladder cancer? is bladder cancer common in men or women?

  • transitional cell carcinoma
  • more common in men between 60-70yrs
8

risk factors of bladder cancer

  • smoking, exposure to dyes used in rubber, actos
  • previous radiation therapy in pelvic area
  • recurrent bladder renal calculi, chronic UTIs, chronic Foley catheters
9

clinical manifestations of bladder cancer

  • painless hematuria
  • dysuria
  • frequency
  • urgency
10

diagnostic tests

  • urine cytology
  • CT, US, MRI
  • cystoscopy and biopsy
11

surgery for bladder cancer

  • TURBT- go through urethra to remove bladder
  • partial cystectomy
  • radical cystectomy
12

radical cystectomy

  • removal of bladder and surrounding reproductive organs
  • ileal conduit needed
13

collaborative care for bladder cancer

  • depends on stage
  • radiation, chemotherapy
  • intravesical therapy
14

prostate cancer characteristics

  • androgen-dependent adenocarcinoma
  • slow growing
15

risk factors for prostate cancer

  • age
  • ethnicity
  • family history
  • high fat, red meat, low F&V diet
16

late signs of prostate cancer

BPH symptoms, S&S of metastasis

17

2 main screenings for prostate cancer

DRE and PSA at age 50

18

normal PSA levels. what can elevate it

  • 0-4 normal
  • recent ejaculation, bike ride, foley insertion
19

diagnostic test for prostate cancer

  • PSA and PAP
  • biopsy
  • TRUS
  • metastatic work up
20

collaborative care for prostate cancer

  • active surveillance - "watchful waiting"
  • surgical therapy
  • radiation and chemo
  • hormonal therapy
  • orchiectomy
21

orchiectomy

testicular removal. they will have no testosterone which blocks androgen and decrease growth

22

most common cancer in young males

  • testicular cancer
  • age between 15-33
23

risk factors of testicular cancer

  • ethnicity
  • family history
  • undescended testes
  • orchitis
  • maternal exposure to exogenous estrogen
24

clinical manifestations of testicular cancer

painless lump, scrotal edema, pain

25

screening for testicular cancer

monthly self-exams if high risk

26

diagnostic tests for testicular cancer

AFP, LDH, hCG, testicular ultrasound

27

collaborative care for testicular cancer

orchiectomy, chemotherapy, radiation

28

colorectal cancer risk factors

  • family history
  • HNPCC gene
  • history of IBD
29

clinical manifestation of colorectal cancer

gradual onset until advanced

  • iron deficiency anemia
  • rectal bleeding
  • abdominal pain
  • change in bowel habits
  • bowel obstruction and perforation
30

diagnostic test for colorectal cancer

  • DRE, colonoscopy (5-10yrs depending on risk)
  • fecal occult blood
  • CEA, CBC
  • CT scan, MRI
31

collaborative care for colorectal cancer

  • colon resection and reanastomosis
  • chemotherapy, radiation, targeted therapies
32

nursing prep for colonoscopy

  • bowel needs to be empty and cleaned
  • stool softeners to clear out
33

leukemia affects what

blood, blood-forming tissues of bone marrow, lymph system and spleen

34

leukemia is common in what age group

affects all age groups but more common in adults

35

potential risk factors for leukemia

  • chemo and radiation exposure
  • viruses, immunologic deficiencies
36

types of leukemia

  • acute myelogenous leukemia
  • acute lymphocytic leukemia
  • chronic myelogenous leukemia
  • chronic lymphocytic leukemia
37

acute myelogenous leukemia

  • abrupt onset
  • abnormal leukocytes that don't work
38

acute lymphocytic leukemia

  • abrupt onset
  • most common in children
39

chronic myelogenous leukemia

  • chronic phase can last several years controlled with treatment
  • philadelphia chromosome is diagnostic hallmark
40

chronic lymphocytic leukemia

  • most common in adults
  • may not need treatment in very early stages
41

diagnostic test of leukemia

  • CBC with peripheral smear
  • bone marrow biopsy
  • uric acid levels
  • LDH
42

collaborative care of leukemia

  • chemo and radiation
  • hematopoietic stem cell transplant (HSCT)
  • blood or platelet transfusions
  • antiinfectives
43

hodgkin lymphoma will have the presence of what

Reed-Sternberg cells

44

clinical manifestations of Hodgkin lymphoma

  • painless lymphadenopathy
  • fever, weight loss
45

diagnostic test for hodgkin lymphoma

  • CBC with peripheral smear
  • lymph node biopsy and analysis
46

collaborative care for Hodgkin lymphoma and Non-Hodgkin lymphoma

  • radiation and chemo
  • HSCT
47

risk factor for non-Hodgkin lymphoma

  • family history
  • chromosome translocation
  • viral infections
48

diagnostic test for Non-Hodgkin lymphoma

  • lymph node biopsy
  • CT and BM biopsy for staging