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Med Surg II

Chapter 8

QuestionAnswer
Malignant cells grow in a(n) _________________________ manner compared to normal cells.
A(n) abnormal replication of cells is called a(n) _________________________. NEOPLASM
Malignant growths are divided into four main types: _________________________, _________________________, _________________________ and _________________________, cancers of the blood-forming system; and _________________________
arising from mesenchymal tissue are
originating from the epithelial tissue are
malignancy of the pigment cells of the skin are
TNM staging system identifies cancers by how much the malignancy has spread and includes three basic parts: T for _________________________, N for _________________________, and M for _________________________.
_________________________, _________________________, air and water pollution, and certain _________________________ found in food packaging are all considered to be carcinogens.
There are three traditional modes of therapy for malignancies: _________________________, _________________________, and _________________________.
Many antineoplastic drugs are _________________________, which can cause tissue damage and severe local injury if they escape from the vein into which they are administered.
Suppression of the _________________________ is the major reason that doses of chemotherapy must be limited.
A patient undergoing radiation therapy must wear _________________________ and _________________ ____________________________________ when outdoors.
Radiation therapy of the abdomen or newer targeted therapies often produce _______________________, which can lead to dehydration if not treated
The health care provider orders Roxanol 20 mg PO q4h for pain. The pharmacy delivers a 90-mL bottle of Roxanol 10 mg/mL. How many mL should be given? ________________
Reproduce in an uncontrolled way Cancer cells
Movement of cancer cells from the original cancer site to other areas of the body Metastasis
Replicate only to replace damaged or dead cells Normal cells
A group of diseases that characteristically grow in an uncontrolled manner with the spread of abnormal cells Cancer
New treatments have greatly improved the survival of patients with cancer 68% of patients live 5 years or longer
All cancer results from defects in the DNA of genes
Cancer can be inherited or caused by mutation
Oncogenes and tumor suppressor genes are genetic factors
Carcinogens in external and internal environments are genetic factors
Immunocompetence us a genetic factor
Some chemical carcinogens include cancer-causing substances
Carcinogens in the external environment Certain chemicals Sources of radiation Viruses
Carcinogens in the internal environment Exogenous hormones Inherited genes Advanced age
Chemical Carcinogens-Occupational such as Petrofluorocarbons Some pesticides Pitch, asphalt, crude paraffin, and petroleum products Tobacco smoke Asbestos Chemical wastes from industry and automobiles
When nicotine is present, cancers occur at a faster rate in those who are heavy consumers of alcohol Alcohol is a cancer promoter
Promoters are not carcinogenic when found alone, but when they are in the body with a known carcinogen, cancer occurs faster
The presence of a mole or exposure to chemical carcinogen or ultraviolet (UV) rays is a chronic irritation
Chronic irritation is a contributing cause of cancer
A physical carcinogen is radiation
Radiation may come from x-ray machines, radioactive elements, or UV rays from the sun
Radiation is capable of penetrating certain body tissues and causing the development of malignant cells in the affected area
People with fair complexions have less protective pigment and therefore are more likely to develop skin cancer from UV radiation than are people with darker skin
People who live in areas that have more radon emission from the earth have a higher incidence of malignancy in the population than people in areas that are low in radon
Experiments involving animals have demonstrated that a number of cancers can be produced in animals by injecting them with a filtrate from virus-infected malignant growths
These viruses are known as oncoviruses because of their ability to cause cancer
The hepatitis B virus is carcinogenic for liver cancer
The Epstein-Barr virus causes Burkitt’s lymphoma
Cases of adult T-cell leukemia and lymphoma are caused by human T-cell lymphotropic virus
Several types of the HPV cause cervical carcinoma and are related to throat and mouth cancer in nonsmokers
Biopsy—obtain specimen
Prophylaxis—preventive treatment
Explorative—determine effectiveness of therapy
Palliative—offer pain relief
Curative—attempt cure
Reconstructive surgery
RAD (radiation absorbed dose) is the unit used for measuring dosages of radiation
Created by: Daarina Jones
 

 



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