Latest Update 2024/2025
cancer is - ✔️✔️any malignant growth or tumor caused by abnormal and uncontrolled cell division
neoplasm - ✔️✔️abnormal growth of a tumor, it is a solid mass that is functioning independently
and serves no useful purpose.
DNR purpose - ✔️✔️so healthcare knows not to prolong life with life saving measures like CPR or
ventilation
palliative care and DNR. what do we do? - ✔️✔️make accommodations for comfort and care but
not to prolong life
what is hospice care? - ✔️✔️end of life comfort care when a patient has 6 months or less to live.
pain control and anxiety control are big players, also supporting the family.
What is the purpose of combo chemotherapy - ✔️✔️the different chemo drugs work together at
the different stages of tumor growth to help kill more of the cancer.
why would someone with metastatic cancer be given palliative chemotherapy? - ✔️✔️shrinking
tumor to improve quality of life.
Cyclophosphomide - ✔️✔️Chemotherapy Alkaladic agent. (interferes with DNA)
#1 side effect is it interferes with Folic acid, it destroys folic acid
#2 is a bone marrow suppressor
#3 Hemorrhagic cystitis is an adverse effect unique to this drug
#4 at risk for all -penias
INCREASE FLUID INTAKE!
always check temp, even if low grade call provider right away
, Doxirubicin - ✔️✔️adverse effects of drug?
Doxirubicin is cardio toxic and has a lifetime limit of 500mg.
Methotrexate - ✔️✔️Antimetabolite antineoplastic agent
T-1 N-1 M-X what does this mean? - ✔️✔️T-1 = Tumor is less than 2cm
N-1= has spread to lymph nodes
M-X=Metastisis can not be determined how wide spread
Purpose of needle biopsy? - ✔️✔️to determine cancer diagnosis and sets the treatment plan based
on staging.
debulking surgery - ✔️✔️excision of a major part of a tumor that cannot be completely removed.
done for comfort reasons and to make chemo/radiation more effective because the tumor is now
smaller.
interleukin-2 - ✔️✔️Adjuvent therapy that will enhance immunity.
7 Warning signs of cancer - ✔️✔️C- Changes in bowel or bladder habits
A- A sore that does not heal
U- unusual bleeding or discharge
T- Thickening or lump in breast or elsewhere
I- Indigestion or difficult swallowing
O- Obvious change in wart or mole
N- Nagging cough or hoarseness
T N M staging system - ✔️✔️T- Tumor size
N- Node (lymph)
M- metastisis
T 1-4