nrs 220 alterations in cellular metabolism
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Section 2 Interventions. NRS 220 Alterations in Cellular Metabolism. Interventions Alterations in Cellular Regulation. Nutrition Activity Breathing Fatigue Comfort. Treatment Options Alterations in Cellular Regulation. Surgery Complimentary therapies Alternative therapies - PowerPoint PPT PresentationTRANSCRIPT
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Section 2 Interventions
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NutritionActivityBreathingFatigueComfort
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Chemotherapy Radiation Biologic Therapies Hormonal
Manipulation Antianemic Blood transfusion
Surgery Complimentary
therapies Alternative therapies Transplant e.g. stem
cell Palliative Care Photodynamic therapy Gene therapy
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ProphylacticDiagnosticCurativePalliative
What are the differences?
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Purpose is to destroy cancer cells with minimal exposure of normal cells
Local treatmentAmount of radiation is called
exposureAmount of radiation absorbed is
called radiation dose
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Chemotherapy-used to cure and to increase survival time
CytotoxicCombination therapyCategories of Chemotherapeutic
drugs
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Can slow cancer rateUsually does not lead to a cure
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Modify patient’s biologic response to tumor cells
Ex: interleukin, interferonSupportive therapy: colony-
stimulating factors
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ExperimentalTargeted therapy combines gene
therapy and immunotherapy
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Neutropenia Anemia Thrombocytopenia Extravasation Stomatitis Mucositis Infection-sepsis Chemotherapy
induced vomiting DIC
Graft versus host disease
Peripheral Neuropathy
Spinal cord compression
Superior vena cava syndrome
Changes in cognitive function
SIADH TLS
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After receiving report on your patient who is on neutropenic precautions you are delegating am care and vital signs to the unlicensed assistive personnel (UAP). What are 3 pieces of information you would need to stress to the UAP and why? Regarding this same patient discuss 3 pieces of education you can provide to the patient and family members regarding prevention of infection.
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Pharmacologic- antiemeticAlternative therapies: music, guided
imagery, accupressure, muscle relaxation
Palliative care
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You are caring for a 45-year-old breast cancer patient who is experiencing side effects from chemotherapy. During report you are told that she is experiencing alopecia, mucositis and her lab values are as follows:
Hemoglobin: 8gm/dL Absolute neutrophil count (ANC): 400/microL Platelets: 120,000/microL Based on the information provided please
your plan of care for your shift (goals & interventions).