AMS1

  1. General info on lung cancer
    • 1st of cancer-related deaths in U.S.A. (28%)
    • Leading cause of death for women
    • Biggest risk factor=smoking.
  2. Common etiologies of lung cancer
    • Cigarette smoking (80-90% of lung ca)
    • Pipe & cigar smoking
    • Other inhaled carcinogens
    • Asbestos
    • Radon
    • Uranium
    • Air pollution
  3. pathophys of lung cancer
    • Most commonly bronchogenic
    • Slow growing – (8-10 years to reach 1 cm). by time it shows you're already screwed. Probably.
    • Inflammatory changes
    • --Hypersecretion of mucus
    • --Desquamation of cells
    • --Basal cell hyperplasia
  4. More pathophys of lung cancer
    • Non-small cell lung cancer (NSCLC) – 80%
    • Small cell lung cancer (SCLC) – 20%
    • Metastasis is via direct extension, circulation, & lymph system
    • Mets frequently to liver, brain, bones, scalene lymph nodes, adrenal glands
  5. Early SnSs of lung cancer
    • Silent, asymptomatic, depends on location and type of ca.
    • Pneumonitis
    • Fever, chills
    • Cough – persistent & w/blood tinged sputum
    • Chest pain
    • Dsypnea
    • Wheezing
  6. Late SnSs of lung cancer
    • Anorexia, N/V-->Weight loss
    • Fatigue
    • Hoarseness, Dysphagia
    • Palpable nodes
    • Pericardial effusion
    • Dysrythmias
    • Tamponade (pressure on heart due to fluid build up between pericardium and myocardium). Mostly likely terminal at this point.
  7. Diagnostic tests associated with lung cancer
    • H&P
    • CXR
    • CT
    • MRI
    • PET
    • Biopsy
    • Sputum Cytology
  8. Staging of Lung Cancer
    • TNM staging for NSCL
    • CSCLC – TNM not done because of aggressive nature, considered systemic & mets assumed.
    • Stages are considered limited or extensive
    • No current recommendations. Most likely terminal, so treatment is largly palliative.
  9. Collaborative care for pt w/lung cancer
    • Surgery
    • Radiation
    • Chemotherapy
    • Other
  10. Nuring Intervension for pt w/lung cancer
    • Assessment – reassessment
    • Pain
    • Pt understanding/education
    • Anxiety
    • Goals-realistic? palliative? acceptance?
Author
alyn217
ID
162838
Card Set
AMS1
Description
Lung Cancer
Updated