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PEDS- CANCER

Terms in this set (44)

significant weight loss
main s/s suggestive of cancer
elevated WBC w/o infection
lab values that may be suggestive of cancer
very low WBC
lab value that is suggestive of leukemia
where they live and what's around them
question to ask to find out history of exposure to toxins or radiation
Acute lymphoblastic leukemia (ALL)
Down syndrome children are more prone to what cancer?
higher risk of complications, faster cancer progression, decrease response to treatment
result of children having rapid growth periods
birth- 1 yr and during adolescents
when are a child's rapid growth periods?
longer periods of chemo
children need _____________ to achieve remission
80%
As of 2010 All children cancers have a ______ 5 year survival rate
90%
ALL survival rate is _____ for 5 years
RBS, neutrophils, thrombocytes
chemo suppresses production of what 3 cell lines...
severe anemia, bleeding, and infection
Chemotherapy suppresses production of all 3 cell lines, which leads to risk for what?
in bone marrow and found throughout the blood
ALL begins where?
Acute lymphoblastic leukemia (ALL)
most common cancer of childhood
Acute lymphoblastic leukemia (ALL)
Tiny Blasts (immature cancerous WBC's) infiltrate and fill the bone marrow. This infiltration prevents the production of normal cells. With time the blast cells will infiltrate the ovaries, testes, lymph nodes, spinal fluid, and eventually spleen, liver and skin
blood test to see Blasts in blood smear
how is ALL diagnosed?
central line or port
always need what when administering chemo?
blood and intrathecal space
where is chemo administered for ALL?(route)
only 1 visitor allowed bc of strict reverse isolation
edu for bone marrow transplant for patient
very painful
edu for bone marrow transplant for donor
Acute Myeloid Leukemia (AML)
Blasts fill the bone marrow, build up in circulation-enter organs and form solid tumors.
chemo then bone marrow/stem cell transplant
treatment for Acute Myeloid Leukemia (AML)
less common and poorer outcomes
what is the outcome for Acute Myeloid Leukemia (AML)?
hodgkin lymphoma
Abnormal lymphatic cells proliferate in lymphatic system and form tumors
upper body
where are most tumors found for Hodgkin lymphoma?
chemo and radiation
treatment for Hodgkin lymphoma
neuroblastoma
Arises from the branches of nerves that run out of or exit from the spinal cord. Most present with tumors in their abdominal cavity.
under 5
at what age do children mostly get neuroblastoma
bloated abdomen
main s/s of neuroblastoma
surgery to remove then chemo and radiation
treatment for neuroblastoma
vitamin A
what given after neuroblastoma treatments has shown to reduce relapse?
Ewing Sarcoma
Effects bones and soft tissue. Usually in adolescence.
surgery to remove then chemo, radiation, and maybe bone marrow transplant
treatment for Ewing sarcoma
wilms tumor
kidney tumor- usually only 1 kidney is affected. Rare
retinoblastoma
cancer of the retina
Parents notice whitish glow on retina at certain angles of light
s/s of retinoblastoma
remove eye then either radiation, liquid nitrogen, or laser to remove any remaining cells
treatment for retinoblastoma
Huber needle
what needle is used to access the port of a central line?
zofran, Pepcid, reglan
meds to manage nausea and vomiting
Anzemet
specific med for cancer patients to help with nausea (expensive)
neutropenic- no fresh flowers
what precautions are cancer patients on?
tylenol and ibuprofen
meds given for pain
CBC with manual differential
what type of CBC do you need to order for cancer pts?
bands, segs, and blasts
what does a manual differential show?
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