NUR 401: Week 4: Oncological Emergencies Questions And Answers With Verified Tests

Acute vs Chronic Pain ? - Acute: : 3 Months duration. Anaphylaxis is a ? - Severe, and life threatening. systemic hypersensitivity reaction Usually caused by: Insect stings, ingestion of nuts or shellfish, penicillin, local anesthetic injections. Usually occurs within minutes of exposure. As intrapericardial pressure increases what happens to the left ventricular filling ? - It decreases, lowering hearts ability to pump = Lowering Cardiac Output Assessment for spinal Compression ? - Back Pain Neural: Sensory changes ( numb/tingle) bladder: Hesitancy, retention, incontinence Bowel: Constipation, incontinence Msk: Muscle tone changes, muscle strength, reflexes, motor weakness Behavioural Responses to pain ? - Vocalization moaning crying gaspinggrunting Cardiac Tamponade Signs and Symptoms ? - SOB Tachycardia Cough Dysphagia Hiccups Hoarseness N/V Excessive perspiration decreased LOC Early symptoms : Chest pain relieved by learning foreword and intensified when supine, Dyspnea, cough, orthopnea ( Dyspnea when lying down), weak. absent apical pulse. Late symptoms: tachycardia, Tachypnea, Altered LOC, Decreased systolic pressure, increased diastolic ( during relaxation), Oliguria ( small amounts of urine) Cardiovascular manifestations of Anaphylaxis ? - Decreased Blood pressure rapid, weak, irregular pulse. general vasodilation caused by chemical mediators = Low blood pressure, SNS responds by increasing Heart rate Carotid Artery Rupture AKA Blowout is a oncologic emergency. who does it most occur with ? - Those with Head and Neck Cancers Potentially Life Threatening Why dose it happen ?Invasion of Arterial wall by Tumor or Erosion following surgery or radiation therapy. Clinical manifestations of a Malignant Pleural Effusion (MPE) - Tachypnea( Restricted chest wall expansion) Dyspnea Dry cough ( Most common symptom) Pleural friction Rub diminished or absent breath sounds Egophony Compression atelectasis and fever.