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ad2 final
burn/CA
| Question | Answer |
|---|---|
| which is worse ac or dc and why | ac // dc not enough to throw from the outlet |
| priority of intetventions | abc// then prevnet shock "IV" and tissue damage "escharotomy" // then assessment |
| carcinomas | epithelial tissue |
| sarcomas | blood vessels, nerve tissue, cartilage, fibrous conncive, smooth muscle, fat adipose, bone |
| giloma | brain |
| leukemias | malignancies of blood forming cells |
| lymphomas | malignancies of lymph tissue |
| CAUTION definition | change in bowel or bladder habbit/ a sore that does not heal/ unusual bleeding/ thickening or lump in tissue/ indigestion or dysphage/ obvious change in wart or mole/ nagging cough |
| TNM definiton | T characteristics of primary tumor/ N involvement of lymph nodes/ M evidence of metastasis |
| difference between prophalatic and palliative | prevention// relief but no curing "symptoms" |
| number for TNM | t1-4 size of tumor/ N 1-3 how many lymph nodes/ M 0-1 see i fit has moved |
| two different radiation devices | external (teletherapy) internal (brachytherapy) |
| saftey after radiation | avoid contact for 48 hr/ vistors 6 feet away and 30min "no preg limit child"/ body fluids need to be double flushed for 48 hr after |
| chemo two agents | vasicant that cause tissue necrosis and irritant that cause tissue irritation// cell cycle specific and cell cycle non specific |
| handeling chemo | double glove/ protive wear/ dislay sigage in pt room to double glove/ flush body fluids for 24 hr after chemo |
| antitiumor antibiotics s/e | cardio toxicity |
| antimitotics s/e | peripheral neuropathy, constipation |
| alkylating agents | nephrotoxicity |
| antimetabolite s/e | diarrhea |
| what is Nadir | point at which lowest blood cell count is reached |
| nx manag and tx for neutropenia | infection control handwashing or hand care no fresh flowers raw fruits or veggies or immunizations// transport with mask// neupogen and leukine |
| thrombocytopenia count/ ass/ tx | 50,000 bad under 20,000 extreme/ assess for bleeding/ oprelvekin (neumega) |
| topoisomerase inhibitors s/e | peripheral neropothy and constipation |
| normal wbc | 5000-10000 below 1000 requires hospitiliztion |
| how to calculate ANC | WBC by a thousand x (sgs+ bands) example WBC 1.2 sgs 34% bands 3% 1200 (.34+.03) |
| when to give meds for ANC | under 500 give neupogen |