Ambulatory Oncology Divisional Education | Baamboozle - Baamboozle

True or False: When obtaining blood cultures from a central line, the cap should be changed prior to drawing the sample.

True

True or False: The top of the blood culture bottle should be cleaned prior to placing the specimen in the bottle.

True

True or False: It is acceptable to fill the blood tube just below the indicated "fill" line.

False

List the correct order of blood draws: Lavender, Gold, Red, Blood culture, Light blue, Light green, Gray

Blood culture, Light blue, Red, Gold, Light green, Lavender, Gray

When obtaining blood cultures, which bottle should be drawn first- aerobic or anaerobic?

Aerobic

This agent is commonly administered for metastatic colon or rectal cancer, can cause early-onset diarrhea that is commonly treated with Atropine, or late-onset diarrhea that is commonly treated with Imodium.

Irinotecan (Camptosar)

This agent is considered a vesicant, can cause constipation, can be fatal if administered intrathecally, and bolus doses are usually limited to a maximum of 2mg.

Vincristine

This drug is known as a hypomethylating agent, is administered over 15 minutes due to its short stability, and is used in combination with venetoclax for older patients with AML.

Azacytidine

This agent is used for breast and ovarian cancers, may be infused over either 60 minutes or 3 hours, and can cause hypersensitivity reactions in the 1st 10 minutes of infusion.

Paclitaxel

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

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

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

True or false: All central lines are flushed using a "pulse" technique to decrease fibrin build up.

True

Scrubbing the hub for _________ is an effective method for reducing CLABSIs.

15 seconds

When someone has severe sepsis, their chances of survival drops by almost 8% for every _________ without treatment?

Hour

Fever or hypothermia, tachycardia and confusion are all common signs of what?

Sepsis

Harry has glioblastoma. He is admitted for head ache. VS: 182/62, HR45, RR7. What do you suspect is occurring?

Increased Intracranial Pressure

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!

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!

Lucy has acute myeloid leukemia. She is receiving chemotherapy and her labs are as follows: K= 6.0 mEq/L, Uric Acid= 9mg/dL, Phosphorus= 5.8mg/dL, Creatinine= 2.1mg/dL. What do you suspect is happening?

Tumor Lysis 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

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

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

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

Bob has APL. He is bleeding from his gums. What might be happening with Bob?

Disseminated Intravascular Coagulation (DIC)