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AOCNP Essentials in Oncologic Emergencies Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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AOCNP Essentials in Oncologic Emergencies Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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AOCNP Essentials in Oncologic
Emergencies Latest recent and frequently
tested exam with comprehensive questions
and verified accurate solution (detailed &
elaborated) GRADED A+

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,SEPTIC SHOCK - correct ans:SEPTIC SHOCK



The most common noncoronary cause of death in the ICU? - correct ans:septic shock



Patients with cancer are __________ more likely to develop sepsis than those in the general population
due to ____________________ - correct ans:5 times



their higher risk for developing infections and use of underlying treatments for cancer



_______1______ is the more common hematologic malignancies as many as 50% of patients will go on
to develop ______2______that can end in sepsis - correct ans:1 Febrile Neutropenia

2 Bacteremia



_____________is the most common cause of death in patients with cancer not related to their
malignancy and the most common cause of death in patients with hematologic malignancy - correct
ans:Infection



Although not validated in oncology patients, the _______________________, is the preferred method
over previously uses SIRS to assess sepsis risk - correct ans:Sequential Organ Failure Assessment (SOFA)



It is a seven item scoring system that numerically quantifies the number and severity of organ
dysfunction in six organ systems: respiratory, coagulation, liver, cardiovascular, renal and neurologic



Nurses may utilize the quick SOFA which assess three points: - correct ans:respiratory status

blood pressure

mental status



The Multinational Association in Supportive Care in Cancer (MASCC) established a scale for febrile
neutropenic patients. The MASCC risk index is a 21 point scoring system that quantifies
_______________as predictors to progression to sepsis - correct ans:age

systolic BP

, hydration status

pulmonary compromise

type of cancer



The MASCC score of 21 or higher deems a patient as having a __________ for progressing to sepsis
whereas a score of < _________indicated a higher prediction of sepsis with poor outcomes - correct
ans:lower risk



<5



21 lower risk and <5 is higher risk



Common risk factors for sepsis include: - correct ans:-comorbidities

-poor performance status

-age younger than one year or older than 65 years

-prolonged neutropenia greater than 7 days more prominently in hematologic malignancies and stem
cell transplantation



Sepsis is the result of a _________________ from infection, bacterial, viral, fungal, or parasites, which
can result in impaired organ function and systemic dysfunction - correct ans:dysregulated inflammatory
response



Septic shock occurs when the presence of sepsis, with ________________and_______________, is
unresponsive to aggressive fluid replacement, ultimately leading to organ dysfunction - correct
ans:hypotension and hypoperfusion



Multi Organ Dysfunction Syndrome (MODS) is defined as when - correct ans:two or more organ systems
are dysfunctional , leading to the inability to maintain homeostasis without immediate intervention



There are three lines of defense against microorganism invasion and subsequent infection, in addition to
an intact integumentary system - correct ans:Granulocytes (neutrophils and bands)

Cell mediated Immunity (macrophages and T lymphocytes)

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