Escolar Documentos
Profissional Documentos
Cultura Documentos
BREAST CANCER
Exercise
Breast feeding
Pregnancy before 30 years old
ASSESSMENT FINDINGS
Biopsy procedure
Mammography
BREAST CANCER
STAGING
- TNM staging
I - < 2cm
II – 2 to 5 cm, ( + ) LN
III - > 5cm, ( + )LN
IV – metastasis
MEDICAL MANAGEMENT
Chemotherapy
Tamoxifen therapy – blocks
estrogen receptor sites
Radiation therapy
SURGICAL MANAGEMENT
PRE-OP
Explain breast cancer and treatment
options
Reduce fear and anxiety and improve
coping abilities
Promote decision making abilities
Provide routine pre-op care:
Consent, NPO, meds, teaching about
breathing exercise
NURSING
INTERVENTION
POST-OP
Position patient
Supine
Affected extremity elevated to reduce edema
Relieve pain and discomfort
Moderate elevation of extremity
IM/IV injection meds
Warm shower on 2nd post-op
Maintain skin integrity
Immediate post-op, snug dressing with drainage
Maintain patency of drain
Monitor for hematoma with in 12 hour and apply bandage and
ice refer to surgeon
Drainage is removed when the discharge is ledd than 30 ml in
24 hour, inform the doctor to remove JP
Lotions, creams are applied only when the incision is healed in
4-6 weeks
NURSING
INTERVENTION
Promote activity
Support operative site when moving
Hand, shoulder exercise done on 2nd day
Post-op mastectomy exercise 20 minutes TID
No BP or Iv procedure on the operative site
Heavy lifting is avoided
Elevate the arm at the level of the heart
On a pillow for 45 minutes TID to relieve transient
edema
Gardening is prohibited
Arm > elbow
Elbow > shoulder
LUNG CANCER
Radiation therapy
Chemotherapy
Surgery
Surgical Procedures
Surgical Procedures
ASSESSMENT FINDINGS
Total hysterectomy
Bilateral salpingo-oophorectomy
Chemotherapy
Radiation therapy
Pharmacologic
cyclophosphamide
doxubricin
Cisplastin
Caboplastin
Nursing Intervention
Pelvic Exam
Ultrasound
CA-125 assay
Lower GI series or Barium enema
CT Scan
Biopsy
CT Scan
UTERINE CANCER
Physical examination
Dilatation and curettage
X-rays
Blood tests
Dilatation and Curettage
Medical Managements
Total hysterectomy
Bilateral salpingo-oophorectomy
Radiation therapy
Chemotherapy
Bilateral Salpingo-
Oophorectomy
Nursing Interventions
Institute routine pre and post-op care
Assess for hemorrhage, infection or other post
surgical complications
Support woman and family through procedure
encourage expression of feelings and reactions to
procedure
Allow woman to verbalize concerns about sexuality
post surgery
Maintain the patient on low residue diet to prevent
bowel movements which might dislodge apparatus
Observe for symptoms of radiation sickness –
nausea, vomiting and elevated temperature
Observe for any symptoms that might suggest
radiation injury to the intestine diarrhea, report
these if they occur
Tell the patient the importance of monthly follow
up visits to her physician for the first 6 months to
assess effects of radiation on tumor
OROPHARYNGEAL CANCER
Use of alcohol
Use of Tabacco
Being infected with the human
papilloma virus (HPV)
Clinical Manifestation
Radiation therapy
A clinical trial of chemotherapy that is
followed by surgery or radiation
therapy
A clinical trial of chemotherapy
combined with radiation therapy
A clinical trial of new ways to provide
radiation therapy
Radiation Therapy
CANCER OF THE LARYNX
Carcinogens :
- tobacco
- asbestos
- paint fumes
- wood dust
- chemicals
Risk Factors for laryngeal
cancer
Others
- straining the voice
- chronic laryngitis
- nutritional deficiencies
- history of alcohol abuse
- age
- gender
- race
- weakened immune system
Clinical Manifestations
Surgery
Radiation therapy
Chemotherapy
Speech therapy
Surgical Management
Respiratory distress
Hemorrhage
Infection
Wound breakdown
Nursing Interventions
Family history
Chronic inflammatory bowel
disease
Polyps
Low fiber diet
Clinical Manifestation
Chemotherapy
Radiation therapy
Segmental resection with
anastomosis
Abdomino perineal traction with
sigmoid colostomy
Ileostomy
CANCER OF THE STOMACH
Early
Indigestion or burning sensation
( heartburn)
Loss of appetite specially meat
Late
Abdominal pain
Nausea and vomiting
Diarrhea or constipation
Bloating of the stomach after meals
Weight loss
Weakness and fatigue
Bleeding which can lead to anemia
Clinical Manifestation
Chemotherapy
Radiation therapy
Pharmacologic drugs
cisplastin
Irrinotecan
Doxorubicin
Nursing Intervention
Weakness
Anorexia
Nausea and vomiting
Right upper quadrant discomfort
Blood tinged ascites
Friction rub over liver
Diagnostic Findings
Chemotherapy
Percutaneous biliary drainage
Lobectomy
Radiation therapy
Nursing Intervention
nephroblastoma is usually
discovered early in life (6 mos to
5 yr; peak at 3 to 4yr)
Although it apparently arises
from an embryonic structure
present in child before birth.
Nephroblastoma may manifest
w/ hematoria and low grade
fever occurs between of rennin
production
Diagnosis
CT- scan
Glomerular filtration rate
Blood urea nitrogen
Therapeutic
Management
Nephrectomy ( excision of
affected kidney)
Chemotherapy w/ dactinomycin
Nephrectomy
STAGING
NEPHROBLASTOMA
backache
hip pain
perineal and rectal discomfort
anemia
weight loss
weakness
nausea
oligoria
Diagnosis
1. Surgical management
- Radical prostatectomy (removal of
the prostate and seminal vesicle)
2. Radiation therapy
- teletherapy w/ linear accelator or
interstitial irradiation ( implantation
of radioactive seeds of iodine or
palladium)
Medical Management
Reducing anxiety
Relieving discomfort
Providing instruction
Preparing patient
Maintaining fluid balance
Relieving pain
Monitoring for hemorrhage and
infection
From the looks of the expression
on the dog's face, he is really into
saying his prayers
The End!!!