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Oncology

TermDefinition
Leukemia- Lab findings * CBC-low blood count * thrombocytopenia *neutropenia * leukemic blasts (immature WBCs)
Leukemia- treatment *chemotherapy- the agents that are used depend on the type of leukemia, age, and whether the leukemic cells are found in the cerebrospinal fluid *chemo is administered in 4 phases *to be in remission- have to have less than 5% of leukemic cells in bone
Leukemia- causes a group of malignancies that affect the bone marrow and lymphatic system.
Leukemia- early manifestations * low grade fever * increased bruising and petechiae *pallor *enlarged liver, lymph nodes, joints
Leukemia- diagnostics procedure * bone marrow aspiration or biopsy - if leukemia is present the specimen will show prolific quantities of immature leukemic blast cells *cerebrospinal fluid (CSF) analysis - CSF is obtained by a lumbar puncture
Leukemia- assessment lethargy, weakness, paleness, dizziness. back, leg, and joint pain, headache, trouble standing or walking. easy bruising, unusual bleeding, frequent nose bleeds, bleeding gums, petechiae, frequent infections, fever that lasts several days
leaukemia- ;ate manifestations pain, hematuria, ulcerations in the mouth, enlarged kidneys and testicles, manifestations of increased cranial pressure
Wilm's tumor(kidney cancer)- s/sx painless, firm nontender abdominal swelling or mass fatigue, malaise, weight loss, fever, hematuria, hypertension, dyspnea, cough, SOB, chest pain
Wilm's tumor- lab testing BUN, creatinine, CBC, urinalysis
Wilm's tumor- diagnostics abdominal ultrasound, CT of abdomen and chest, inferior venacavayogram, bone marrow aspiration
Wilm's Tumor- treatment surgical removal, preoperative chemo or radiation, Acinomycin D and vincristine
Wilm's Tumor- assessment do not palpate abdomen, extreme caution when handling or bathing the client to prevent trauma to the tumor, assess child and family's coping and support, assess for developmental delays r/t illness, assess physcial growth (height/ weight), provide educati
Wilm's Tumor- assessment cont'd admin abx, keep child's skin clean, dry, and lubricated. provide oral hygiene and keeps child's lips lubricated. provide age- appropriate activities, avoid false reassurance, allow time for the family to discuss feelings
Neuroblastoma(cancer of adrenal glands)-diagnostics CBC, urine catecholamines, skeletal survey, CT on skull, neck, chest, and bone, bone marrow aspiration, metaiodobenzylguanidine scan, biopsy of tumor
Neuroblastoma- S/SX manifestations depend on the location and stage of the disease. half of the children have few findings, ill appearance, periorbital ecchymoses, proptosis, bone pain, irritability
Neuroblastoma- treatment surgical removal or the tumpr, chemo and or radiation
Neuroblastoma- assessment assess for lumps of tissue under the skin, eyes that protrude from sockets (proptosis), dark circles around eyes, back pain, fever, unexplained weight loss, bone pain
Created by: jhenrichs16
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