SYSTEMIC EFFECTS

DIGESTIVE SYSTEM LYMPHATIC

HEAD AND NECK CANCER PRIMARY PREVENTION
SYSTEM Avoiding cigarette smoking
Dysphagia > Lymphedema Limit alcohol intake
Odynophagia Avoid free radicals (oily foods and
RESPIRATORY SYSTEM RISK FACTORS preservatives)
DOB Eat diet high in vitamins and
CARDIOVASCULAR SYSTEM Cigarrete smoking, alcohol, air minerals
Heart block pollution, eating foods with Increase fluid intake
Sinus bradycardia preservatives, Age, Gender
Premature Ventricular Contractions SECONDARY PREVENTION
Ventricular tachycardia Endoscopy/ Laryngoscopy
Cardiomyopathy CT Scan
Hypertension Biopsy
LV Hypertrophy PET
MI MRI
Heart Failure Chemotherapeutic Agents:
John Do is a 55 years old Male who was Cisplatin
admitted to the unit on November 10, Carboplatin
2014, 2 years ago with complaints of 5-fluorouracil (5-FU)
ONCOLOGIC EMERGENCIES Docetaxel (Taxotere)
shortness of breath upon exertion,
RESPIRATORY SYSTEM: Paclitaxel (Taxol)
hoarseness of voice and feeling of lump
Bleomycin
Upper airway obstruction by malignancy in the throat . Vital signs were taken: T: Methotrexate
METABOLIC SYSTEM: 374 C, RR: 25, O2:89% at room air, BP: Ifosfamide
Hypercalcemia 120/80 mmHg. He was diagnosed of Pharyngectomy/ Laryngectomy
Syndrome of inappropriate antidiuretic Throat Cancer and reported smoking
hormone secretion about 7-8 cigarretes a day. His previous
CARDIOVASCULAR SYSTEM: TERTIARY PREVENTION
weight upon consultation was 65 kg
Carotid blowout
compared to his recent body weight is Speech therapy
Internal jugular vein bleeding
HEMATOLOGIC SYSTEM:
48 kg. An assessment was done and Support groups
Neutropenia found uneven and labored respirations.
Hyperviscosity syndrome Breath sound are loud and crackles at
OTHERS: the base of the lungs upon auscultation
Hemoptysis was noted.
Tracheoinnominate fistula
Chronic epistaxis
 Ineffective airway Nutritional Deficit:
clearance Impaired gas
Less then body
exchange requirement

Cough with sputum Crackles upon Weight loss: from 65

Dyspnea, SOB, Low O2 Saturation :
production auscultation kg to 48 kg
labored breathing 89%

Monitor ABG Promote bed rest Provide a pleasant environment

Keep suction in the room Teach pursed lip breathing exercise Determine time of the day when patients
Assist client forced expiratory technique Administer humidified oxygen appetite is at peak
Encourage in use of incentive spirometer Encourage smoking cessation Schedule rest periods before meals
Encourage ambulation Teach relation techniques Encourage good oral hygiene
 DESIRED OUTCOME:

Maintain patent airway and clear secretion/discharge

Demonstrates effective cough
Demonstrate improved ventilation and adequate
oxygenation of tissues
Oxygen and AGB levels return to its normal limits

LEGEND:

NURSING INTERVENTIONS
RISK FACTOR

LEVEL OF PREVENTIONS

SYSTEMIC EFFECTS

ONCOLOGICAL EMERGENCIES

NURSING DIAGNOSIS

SIGNS AND SYMPTOMS