Oncology certification questions with correct answers

Polypharmacy - Answer Use of multiple medications in the management of Cancer and/or any of its associated side effects includes careful periodic Eval of the whole pharmacologic picture for the patient Hematopoiesis - Answer Stem cell (mother cell) through the lineage of the development of the cell into red blood cells, white blood cells, and platelets Hematopoiesis - Answer Stem cell-multi potent progenitor, committed progenitor- Mature cells Anemia - Answer Occurs in 30-90% of Cancer patients. A decrease in hgb concentration, as well as a decreased # of functioning red blood cells, insufficient to support optimal levels Pathophys of anemia - Answer Increased destruction of red blood cells, decreased production of red blood cells, blood volume loss Causes of anemia in cancer - Answer Multiple origins such as frank bleeding, renal insufficiency, hemolysis, or chronic anemia. Cancer may directly exacerbate anemia by suppression of hematopoiesis or by cytokine production that kills red blood cells prematurely. Tumors may cause chronic blood loss, chemo causes myelosuppressive effects, and radiation can cause myelosuppression. S/s of anemia - Answer Decreased activity tolerance, mild SOB, increased fatigue Moderate to severe anemia - Answer Cardio effects(murmurs, tachycardia,dysthymias, postural hypotension), pulmonary effects (dyspnea,