Bob has APL. He is bleeding from his gums. What might be happening with Bob?
Myocardial Infarction
Too many aspirin
Disseminated Intravascular Coagulation (DIC)
Pneumothorax
Sally Sue has breast cancer. She has complaints of bowel and bladder incontinence, and back pain. What do you suspect is occurring?
Spinal cord compression
Tumor Lysis Syndrome
Hypercalcemia
Superior vena Cava Syndrome
Rhonda has renal cancer. She is experiencing polyuria and altered mental status. Serum calcium is 14mg/dL. What do you suspect and what treatments do you anticipate?
Nothing until she is off chemotherapy
Hyperphosphatemia, calcitonin, steroids, lasix
Hypercalcemia; Saline fluids, Calcitonin, Biphosphonates
Hypocalcemia, sodium bicarb, steroids
Pat has lymphoma and is actively receiving chemotherapy. She has a left DL port in place for her chemo. Pat arrives to the clinic with upper extremity swelling, JVD, and periorbital edema. What do you suspect is happening?
Spinal Cord Compression
Superior Vena Cava Syndrome
Tumor Lysis Syndrome
Hypercalcemia
Ruby has ALL. She has a DL port in place. Ruby has complaints of her arm feeling "tight" and you note that her arm is red, warm, and swollen. What do you expect and what should your next steps be?
Fibrin plug, administer tPa, flush with 20 cc saline
Extravasation, notify provider, remove and culture
Infiltration, measure extremity, notify provider
DVT; measure extremity, notify provider, remove and culture
Kim is receiving paclitaxel for breast cancer. She calls out and tells you that she is "feeling winded and my lips are feeling fat." What do you suspect? What are your actions?
Infiltration, change the IV site.
Hypersensitivity reaction. Stop the infusion
Extravasation, stop the infusion.
Keep the infusion going, she's a hypochondriac
Arnold is receiving daunorubicin via L. PICC line. He calls out and states that his left arm is burning. What actions should you take?
Stop the infusion, check for blood return,
Continue the infusion, tell the patient this is normal
Call the doctor!
Slow the infusion, reassure the patient
Harry has glioblastoma. He is admitted for head ache. VS: 182/62, HR45, RR7. What do you suspect is occurring?
Hypoglycemia
Increased Intracranial Pressure
Syndrome of Inappropriate Antidiuretic Hormone
Tumor Lysis Syndrome
Fever or hypothermia, tachycardia and confusion are all common signs of what?
Anaphylaxis
Deep Vein Thrombosis
Sepsis
Hypoglycemia
When someone has severe sepsis, their chances of survival drops by almost 8% for every _________ without treatment?
Hour
Minute
Day
Second
Scrubbing the hub for _________ is an effective method for reducing CLABSIs.
20 seconds
10 seconds
15 seconds
5 seconds
True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.
True
A 68-year-old male with a history of lung cancer presents with facial edema, distended neck veins, and dyspnea. He reports worsening cough and hoarseness over the past week. What is the most likely diagnosis?
malignant Bowel Obstruciton
Spinal cord compression
Cardiac Tamponade
Superior Vena Cava Syndrome
