Bob has APL. He is bleeding from his gums. What might be happening with Bob?
Disseminated Intravascular Coagulation (DIC)
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
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?
Hypercalcemia; Saline fluids, Calcitonin, Biphosphonates
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?
Superior Vena Cava Syndrome
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?
DVT; measure extremity, notify provider, prepare for possible ultrasound/doppler
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?
Hypersensitivity reaction. Stop the infusion, check for blood return, Assess the patient,Notify the provider,Provide interventions per orders & policy,Document!
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, Assess the patient, Notify the provider, Provide interventions per orders & policy, Document!
Harry has glioblastoma. He is admitted for head ache. VS: 182/62, HR45, RR7. What do you suspect is occurring?
Increased Intracranial Pressure
Fever or hypothermia, tachycardia and confusion are all common signs of what?
Sepsis
When someone has severe sepsis, their chances of survival drops by almost 8% for every _________ without treatment?
Hour
Scrubbing the hub for _________ is an effective method for reducing CLABSIs.
15 seconds
True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.
True
This agent is used for sarcomas, lung, head and neck, and ovarian cancers. This agent is also highly emetogenic, frequently requires rigorous pre and post hydration, and is associated with nephrotoxicities.
Cisplatin
This agent causes severe mucositis & diarrhea and is often used in combination with Leucovorin which has the potential to increase both its efficacy and toxicity.
Fluorouracil
True or False: All items removed from the Chemo Transport Bag or coming into contact with items in the Chemo Transport Bag, including Phaseal adapters, are considered contaminated.
True
