Cancer Treatment and Biologic Response Modifiers

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Questions and Answers

What are the two main classes of Biologic Response Modifiers?

  • Antiviral and Antibacterial
  • Hormonal and Anti-inflammatory
  • Hematopoietic and Immunomodulating (correct)
  • Antineoplastic and Immunosuppressant

Which of the following is NOT a typical adverse effect associated with Immunomodulating Monoclonal Antibodies?

  • Immunosuppression
  • Inflammatory reaction
  • Hepatitis (correct)
  • Hypokalemia

Which of these drugs is classified as a Purine Analog?

  • Methotrexate
  • Vincristine
  • Hydroxurea
  • Fludarabine (correct)

What is a potential life-threatening complication associated with Rituximab?

<p>Severe Bronchospasms (C)</p> Signup and view all the answers

Which of the following drugs is classified as an Epiodophyllotoxin?

<p>Etoposide (B)</p> Signup and view all the answers

Which of the following is an example of a drug that inhibits the development of new blood vessels in a tumor?

<p>Bevacizumab (C)</p> Signup and view all the answers

What is the primary action of Interferons in the treatment of cancer?

<p>Inhibiting cancer cell division (B)</p> Signup and view all the answers

A patient receiving Aldesleukin (Proleukin) should be carefully monitored for:

<p>Hypotension (A)</p> Signup and view all the answers

Which of the following cancers primarily metastasizes to the brain?

<p>Breast Cancer (B), Lung Cancer (C)</p> Signup and view all the answers

What is a characteristic feature of malignant cells compared to normal cells?

<p>High mitotic index (C)</p> Signup and view all the answers

Which method of radiation therapy is used to deliver a high dose of radiation to a localized area?

<p>Brachytherapy (D)</p> Signup and view all the answers

What cognitive effects are associated with 'chemo brain'?

<p>Decreased concentration and cognitive changes (C)</p> Signup and view all the answers

Which cancer is most commonly associated with metastasis to the liver?

<p>Colorectal Cancer (B), Breast Cancer (D)</p> Signup and view all the answers

In terms of cell division rate, how do benign tumor cells compare to malignant cells?

<p>They divide at a slower rate (A)</p> Signup and view all the answers

Which statement is true about systemic chemotherapy?

<p>It affects the entire body (C)</p> Signup and view all the answers

What is the common target area for metastasis in prostate cancer?

<p>Bone (C)</p> Signup and view all the answers

What is necessary for an infant to develop trust?

<p>Interactions that provide reliability, care, and affection (D)</p> Signup and view all the answers

Which outcome is a result of successful exploration of abilities in early childhood?

<p>Feelings of autonomy (A)</p> Signup and view all the answers

What do parents need to provide to foster autonomy in their children during early childhood?

<p>Opportunities for free play and exploration (B)</p> Signup and view all the answers

What leads to feelings of shame and doubt in children during the autonomy vs shame stage?

<p>Experiencing failure without support (A)</p> Signup and view all the answers

Which concept best encapsulates the developmental challenge faced by infants in the first stage of trust versus mistrust?

<p>Developing a sense of trust through care and reliability (C)</p> Signup and view all the answers

What is the primary focus of Erikson's stage of Autonomy vs Shame?

<p>Sense of personal control over physical skills (C)</p> Signup and view all the answers

Which parenting style is NOT beneficial for a child's development of autonomy?

<p>Allowing unlimited access to all activities (C)</p> Signup and view all the answers

What is an implication of mistrust developing in early childhood?

<p>Lower likelihood of developing autonomy (C)</p> Signup and view all the answers

Which of the following risk factors is associated with breast cancer? (Select all that apply)

<p>Alcohol (A), Late first pregnancy (D)</p> Signup and view all the answers

According to the table, which grading is most descriptive of cancer that is poorly differentiated?

<p>G3- (D)</p> Signup and view all the answers

Which of the following cancers is associated with aflatoxin exposure?

<p>Liver (D)</p> Signup and view all the answers

Which of these is NOT a risk factor for cancer?

<p>Sleep (A)</p> Signup and view all the answers

According to the table, which type of radiation is associated with skin cancer?

<p>Ultraviolet radiation (B)</p> Signup and view all the answers

Which of these is NOT a risk factor associated with an increased risk of developing lung cancer?

<p>Estrogens (A)</p> Signup and view all the answers

Which of the following lifestyle factors is linked to an increased risk of developing esophageal cancer?

<p>Alcohol (B)</p> Signup and view all the answers

According to the table, which of the following cancers is associated with late first pregnancy?

<p>Breast (B)</p> Signup and view all the answers

What is the normal magnesium level range in adults?

<p>1.7-2.1 mg/dL (C)</p> Signup and view all the answers

Which condition is associated with reduced renal function?

<p>Addison's disease (A)</p> Signup and view all the answers

What can falsely elevate magnesium levels in the body?

<p>Hemolysis (A)</p> Signup and view all the answers

Which of the following symptoms may indicate excessive loss of body fluids?

<p>Diarrhea (C)</p> Signup and view all the answers

Which of the following can contribute to magnesium deficiency?

<p>Long-term hyperalimentation (A)</p> Signup and view all the answers

What condition might cause the body to retain excessive magnesium?

<p>Hypoparathyroidism (C)</p> Signup and view all the answers

Which electrolyte imbalance can be caused by malabsorption syndromes?

<p>Hypomagnesemia (C)</p> Signup and view all the answers

What is a common risk associated with prolonged use of magnesium-containing antacids?

<p>Hypermagnesemia (A)</p> Signup and view all the answers

What condition may result from excessive sweating leading to low magnesium levels?

<p>Chronic dehydration (C)</p> Signup and view all the answers

Which of the following can cause false results in magnesium level testing?

<p>Hemolysis (A)</p> Signup and view all the answers

What is the normal potassium level range for infants?

<p>4.1-5.3 mEq/L (A)</p> Signup and view all the answers

Which condition is most likely to cause hyperkalemia?

<p>Severe burns (A)</p> Signup and view all the answers

Which of the following factors can contribute to increased sodium levels?

<p>Cushing's disease (D)</p> Signup and view all the answers

How can primary hyperaldosteronism affect potassium levels?

<p>It decreases potassium levels (A)</p> Signup and view all the answers

Which electrolyte imbalance is associated with excessive licorice intake?

<p>Hyponatremia (A)</p> Signup and view all the answers

What is the effect of severe dehydration on sodium levels?

<p>Increases sodium levels (C)</p> Signup and view all the answers

How does alcohol affect potassium levels?

<p>Causes hypokalemia (B)</p> Signup and view all the answers

In which situation is osmotic diuresis most likely to cause elevated potassium levels?

<p>Uncontrolled diabetes mellitus (D)</p> Signup and view all the answers

What is the potential effect of a kidney transplant on electrolyte levels?

<p>Decrease in potassium (B)</p> Signup and view all the answers

Which of the following is a common cause of hypokalemia?

<p>Laxative abuse (D)</p> Signup and view all the answers

What does aldosteronism cause in terms of sodium and potassium balance?

<p>Increased sodium, decreased potassium (D)</p> Signup and view all the answers

How does hypoparathyroidism affect calcium levels?

<p>Decreases calcium levels (B)</p> Signup and view all the answers

What impact does severe diarrhea have on electrolytes?

<p>Decreases both sodium and potassium (C)</p> Signup and view all the answers

What is the main symptom that Van Nortwick's mother experienced that alerted her to the spinal cord compression?

<p>Change in her gait (D)</p> Signup and view all the answers

What is the primary function of palliative care, as illustrated by Van Nortwick's mother's experience?

<p>To improve the quality of life by reducing pain and discomfort (B)</p> Signup and view all the answers

Which of the following colostomy types produces the most formed stool?

<p>Sigmoid Colostomy (C)</p> Signup and view all the answers

Which of the following colostomy types is most likely to require emptying the pouch 4-6 times a day?

<p>Transverse Colostomy (C), Ascending Colostomy (D)</p> Signup and view all the answers

Which of the following is NOT a common concern associated with colostomy care?

<p>Maintaining a strict diet free of all gas-producing foods (C)</p> Signup and view all the answers

Which of the following best reflects the impact of achieving success in the stages of development mentioned in the first table?

<p>Feeling a sense of wisdom and fulfillment (A)</p> Signup and view all the answers

What is the primary concern regarding foods to avoid with a colostomy?

<p>Foods that can contribute to gas production (B)</p> Signup and view all the answers

What is the primary reason for the use of a temporary colostomy bag in Van Nortwick's mother's case?

<p>To manage bowel incontinence caused by spinal cord compression (D)</p> Signup and view all the answers

What is the key element that contributes to the development of trust in infants?

<p>Providing consistent and predictable care (B)</p> Signup and view all the answers

According to Erikson, what is the primary focus of the Autonomy vs Shame stage of development?

<p>Developing a sense of self-control and independence (A)</p> Signup and view all the answers

What is the main consequence of a child's failure to develop a sense of autonomy during the Autonomy vs Shame stage?

<p>They may become overly dependent on others (D)</p> Signup and view all the answers

Which of the following parenting styles is MOST likely to hinder a child's development of autonomy?

<p>Authoritarian parenting (B)</p> Signup and view all the answers

What is the PRIMARY role of parents in fostering autonomy in their children during the Autonomy vs Shame stage?

<p>Encouraging them to participate in decision-making (D)</p> Signup and view all the answers

What is the MOST LIKELY implication of an infant developing mistrust in their early childhood?

<p>They may struggle to trust others in future relationships (D)</p> Signup and view all the answers

According to the provided information, what is the core concept behind Erikson's theory of trust versus mistrust?

<p>The capacity to trust and rely on others (A)</p> Signup and view all the answers

Which of these scenarios illustrates the development of mistrust in an infant?

<p>An infant's needs are met inconsistently, leading to feelings of uncertainty (D)</p> Signup and view all the answers

What is a potential cause for a decreased BUN level?

<p>Anabolic steroid use (D)</p> Signup and view all the answers

Which of these conditions is NOT associated with an increased BUN level?

<p>Severe diarrhea (C)</p> Signup and view all the answers

Which is a common factor that can interfere with BUN levels?

<p>Dietary factors (C)</p> Signup and view all the answers

What is a plausible reason for a decreased BUN level in a child compared to an adult?

<p>Children have a lower muscle mass. (C)</p> Signup and view all the answers

Which condition is MOST likely to cause a decreased WBC count?

<p>Viral infection (C)</p> Signup and view all the answers

What is a potential reason for an increased WBC count in a person NOT experiencing an infection?

<p>Use of certain medications (B)</p> Signup and view all the answers

Which of these factors can influence the WBC count fluctuations throughout the day?

<p>Hormonal changes (C)</p> Signup and view all the answers

What is the most likely reason for an increased WBC count in a patient with a bacterial infection?

<p>Increased production of white blood cells to fight the infection. (C)</p> Signup and view all the answers

Which is NOT a potential reason for an increased WBC count?

<p>Chronic kidney disease (A)</p> Signup and view all the answers

Which of these factors is LEAST likely to cause a decrease in WBC count?

<p>Regular exercise (C)</p> Signup and view all the answers

What is the probable outcome of a low WBC count in an individual with a serious infection?

<p>Increased susceptibility to infection. (D)</p> Signup and view all the answers

Which of these factors is most likely to cause a decrease in red blood cell count?

<p>Chronic blood loss (B)</p> Signup and view all the answers

What is a potential outcome of a decreased red blood cell count?

<p>Increased risk of anemia (B)</p> Signup and view all the answers

Which of these factors is MOST likely to cause an increase in hemoglobin levels?

<p>High altitude exposure (A)</p> Signup and view all the answers

Why is it important to monitor hemoglobin levels in patients with chronic kidney disease?

<p>Chronic kidney disease can impair red blood cell production. (B)</p> Signup and view all the answers

Which of the following conditions is most likely to cause an increase in the blood pH level?

<p>Hyperventilation (A)</p> Signup and view all the answers

Which of the following factors can cause a falsely elevated creatinine level?

<p>Both A and C (B)</p> Signup and view all the answers

Which of the following conditions may cause a decrease in Hemoglobin (Hb) levels?

<p>Pregnancy (C)</p> Signup and view all the answers

What condition can cause a falsely elevated Hct (hematocrit) level?

<p>Severe dehydration (A)</p> Signup and view all the answers

Which of the following conditions can cause a decrease in serum chloride (Cl-) levels?

<p>Metabolic acidosis with prolonged diarrhea (D)</p> Signup and view all the answers

Which of the following conditions is most likely to cause hyperkalemia (increased potassium levels)?

<p>Renal failure (B)</p> Signup and view all the answers

Which of the following factors can contribute to an increase in sodium levels?

<p>All of the above (D)</p> Signup and view all the answers

What condition can cause a decrease in blood glucose levels?

<p>Starvation (A)</p> Signup and view all the answers

Which of the following conditions can cause an increase in blood glucose levels?

<p>Pancreatitis (C)</p> Signup and view all the answers

Which of the following factors can cause a decrease in RBC (red blood cell) count?

<p>Anemia (B)</p> Signup and view all the answers

Which of the following conditions is most likely to cause an increase in RBC (red blood cell) count?

<p>Polycythemia (B)</p> Signup and view all the answers

Which of the following factors can contribute to an increase in Paco₂ (partial pressure of carbon dioxide) levels?

<p>Both B and C (D)</p> Signup and view all the answers

Which of the following conditions is associated with a decrease in Pao₂ (partial pressure of oxygen) levels?

<p>Both B and C (C)</p> Signup and view all the answers

Which of the following factors can cause a decrease in HCO₃- (bicarbonate) levels?

<p>Both A and C (C)</p> Signup and view all the answers

What is the primary focus of nursing care for a patient with a malignant skin lesion?

<p>Controlling bleeding and reducing odor (B)</p> Signup and view all the answers

Which of the following is a potential complication associated with chemotherapy?

<p>Tissue necrosis (D)</p> Signup and view all the answers

What is the recommended action for a patient with a platelet count of 25,000 who experiences a bump?

<p>Apply ice for 1 hour (A)</p> Signup and view all the answers

What is the most significant risk factor for developing infection in a patient with cancer?

<p>Decreased ANC (A)</p> Signup and view all the answers

Which of the following is a key nursing intervention when caring for a patient with neutropenia?

<p>Restricting the use of fresh flowers (A)</p> Signup and view all the answers

What is the most crucial aspect of managing sepsis in a patient with cancer?

<p>Administering antibiotics promptly (D)</p> Signup and view all the answers

Which of the following is a characteristic feature of Disseminated Intravascular Coagulation (DIC)?

<p>Impaired blood clotting (A)</p> Signup and view all the answers

Why is it crucial for patients receiving radiation therapy to avoid sun exposure for one year?

<p>To minimize the risk of developing cancer (B)</p> Signup and view all the answers

Which of Erikson's stages of psychosocial development focuses on a sense of self and exploration of personal identity?

<p>Ego Identity vs. Role Confusion (C)</p> Signup and view all the answers

According to Erikson, what is the main conflict experienced by individuals during the stage of Intimacy vs. Isolation?

<p>Forming meaningful and lasting relationships with others (C)</p> Signup and view all the answers

What is the primary outcome of successfully navigating the Ego Identity vs. Role Confusion stage?

<p>A well-defined sense of self and a direction in life. (D)</p> Signup and view all the answers

How does Erikson describe the outcome of successfully navigating the stage of Intimacy vs. Isolation?

<p>Individuals develop a sense of belonging and connection to others. (C)</p> Signup and view all the answers

Which of the following statements accurately reflects the core idea behind Erikson's stages of psychosocial development?

<p>Each stage presents a unique challenge that shapes our social and emotional development. (A)</p> Signup and view all the answers

Which of Erikson's stages is primarily focused on developing a sense of competence and accomplishment?

<p>Industry vs. Inferiority (A)</p> Signup and view all the answers

Which Erikson stage focuses on developing a sense of belonging and intimacy with others?

<p>Intimacy vs. Isolation (D)</p> Signup and view all the answers

According to Erikson, what is the primary concern for individuals in the Identity vs. Role Confusion stage?

<p>Establishing a sense of self and identity (B)</p> Signup and view all the answers

During the stage of Initiative vs Guilt, what is the primary developmental challenge faced by a child?

<p>Asserting control over their environment and developing a sense of purpose. (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of the Industry vs Inferiority stage?

<p>The primary focus is on developing a sense of autonomy and independence. (B)</p> Signup and view all the answers

What is a potential consequence of a child experiencing excessive criticism or control during the Initiative vs Guilt stage?

<p>They may develop a sense of guilt and inadequacy about their actions. (C)</p> Signup and view all the answers

How does the peer group's role in a child's self-esteem change during the Industry vs Inferiority stage?

<p>The peer group gains greater significance, becoming a major source of self-esteem. (A)</p> Signup and view all the answers

What is the primary focus of the Initiative vs Guilt stage?

<p>Exploring their own abilities and developing a sense of purpose. (A)</p> Signup and view all the answers

What is the developmental task that children are primarily working on during the Industry vs Inferiority stage?

<p>Mastering basic skills and achieving competence in their learning and social interactions. (A)</p> Signup and view all the answers

Which of the following is NOT a potential outcome of successful development during the Initiative vs Guilt stage?

<p>The child develops a strong sense of trust in their caregivers. (D)</p> Signup and view all the answers

Which of the following statements best describes the impact of discouraging a child's initiative during the Initiative vs Guilt stage?

<p>It can contribute to a sense of guilt and inadequacy about their actions. (A)</p> Signup and view all the answers

Which of the following conditions can lead to a false increase in magnesium levels?

<p>Lithium Therapy (C)</p> Signup and view all the answers

What is the normal range of magnesium levels in adults?

<p>1.7-2.1 mg/dL (D)</p> Signup and view all the answers

Which of the following conditions might cause the body to retain excessive magnesium?

<p>Addison's Disease (C)</p> Signup and view all the answers

Which of the following can contribute to a false decrease in magnesium levels?

<p>Hemolysis (B)</p> Signup and view all the answers

Which of the following factors can lead to excessive loss of body fluids, potentially resulting in low magnesium levels?

<p>Diuretic Abuse (B)</p> Signup and view all the answers

Which of the following conditions is associated with reduced renal function, potentially leading to altered magnesium levels?

<p>Prolonged Salicylate Therapy (B)</p> Signup and view all the answers

What is the normal range of magnesium levels in newborns?

<p>0.62-0.91 mmol/L (A)</p> Signup and view all the answers

Which of these conditions can cause a false increase in magnesium levels?

<p>Chronic Alcoholism (A)</p> Signup and view all the answers

What is a potential complication associated with prolonged use of magnesium-containing antacids?

<p>Hypocalcemia (C)</p> Signup and view all the answers

Which of the following conditions can lead to magnesium deficiency?

<p>Chronic Pancreatitis (D)</p> Signup and view all the answers

What characterizes neoplasia in cellular biology?

<p>Abnormal and progressive multiplication of cells (D)</p> Signup and view all the answers

Which of the following describes the primary role of T-cells in the immune system?

<p>Destroy foreign invaders (D)</p> Signup and view all the answers

What is a significant consequence of cachexia in patients?

<p>Extreme body wasting and malnutrition (B)</p> Signup and view all the answers

What does the process of differentiation in cellular biology involve?

<p>The acquisition of a specific cell function (D)</p> Signup and view all the answers

How does capillary leak syndrome impact the body?

<p>Leads to fluid retention and tissue swelling (A)</p> Signup and view all the answers

What is the primary common site of metastasis for melanoma?

<p>GI tract (D)</p> Signup and view all the answers

Which of the following correctly describes the growth behavior of malignant cells?

<p>Invasion (D)</p> Signup and view all the answers

Which type of radiation therapy delivers a high dose to a localized area for cases such as prostate cancer?

<p>Brachytherapy (C)</p> Signup and view all the answers

Which cancer commonly metastasizes to the brain?

<p>Melanoma (A)</p> Signup and view all the answers

What effect does chemotherapy have on cognitive functions?

<p>Leads to cognitive changes (D)</p> Signup and view all the answers

What characteristic do malignant cells exhibit in terms of nuclear size compared to normal cells?

<p>Larger nuclear to cytoplasmic ratio (D)</p> Signup and view all the answers

Which type of cancer is primarily associated with metastases to the liver?

<p>Colorectal Cancer (B)</p> Signup and view all the answers

What is a common characteristic of benign tumor cells in comparison to malignant cells?

<p>Tight adherence (D)</p> Signup and view all the answers

What is a characteristic sign of cancer that involves a sore?

<p>A sore that does not heal (C)</p> Signup and view all the answers

Which type of tumor arises from glandular tissues?

<p>Carcinomas (D)</p> Signup and view all the answers

What distinguishes a secondary tumor from a primary tumor?

<p>It metastasizes from the original primary cancer (B)</p> Signup and view all the answers

Which type of cancer is characterized by a growth from embryonal tissues?

<p>Blastoma (B)</p> Signup and view all the answers

Which of the following is true about leukemias?

<p>They are cancers of the blood (A)</p> Signup and view all the answers

What does the T in the tumor classification system mainly refer to?

<p>Size and invasiveness of the primary tumor (D)</p> Signup and view all the answers

What type of cancer is better defined by the term lymphomas?

<p>Cancers originating in lymphocytes (C)</p> Signup and view all the answers

Which of the following does NOT qualify as an early warning sign of cancer?

<p>Frequent headaches without other symptoms (D)</p> Signup and view all the answers

What is the normal range of BUN levels for adults?

<p>6-20 mg/dL (A)</p> Signup and view all the answers

What condition is associated with decreased BUN levels?

<p>Malnutrition (A)</p> Signup and view all the answers

Which of the following factors can lead to an increase in BUN levels?

<p>Impaired kidney function (C)</p> Signup and view all the answers

In which scenario would you expect BUN levels to decrease?

<p>Intravenous feeding only (A)</p> Signup and view all the answers

What is a possible cause for increased BUN levels aside from renal impairment?

<p>Starvation (B)</p> Signup and view all the answers

What does a neutrophilic leukocytosis typically indicate?

<p>Bacterial infection (C)</p> Signup and view all the answers

Which demographic is expected to show higher BUN levels due to lower muscle mass?

<p>Women (C)</p> Signup and view all the answers

Which condition is primarily indicated by leukocytosis in the WBC differential?

<p>Acute infection (A)</p> Signup and view all the answers

Chronic renal disease can lead to which of the following hematologic findings?

<p>Decreased hemoglobin levels (C)</p> Signup and view all the answers

The presence of lymphocytosis in a WBC count typically indicates which type of infection?

<p>Viral infection (A)</p> Signup and view all the answers

What effect does dehydration have on blood urea nitrogen (BUN) levels?

<p>Increases BUN levels (D)</p> Signup and view all the answers

A patient with diabetes and ketoacidosis may present with what type of BUN change?

<p>Increased BUN (C)</p> Signup and view all the answers

What is typically observed in a patient experiencing excessive protein intake?

<p>Increased BUN levels (A)</p> Signup and view all the answers

How does chronic use of diuretics affect BUN levels?

<p>Increases BUN levels (B)</p> Signup and view all the answers

What effect does pregnancy have on BUN levels?

<p>Decreases BUN levels (A)</p> Signup and view all the answers

Flashcards

G1 Phase Drugs

Drugs that act on the G1 phase of the cell cycle, including hormonal drugs and antineoplastic enzymes like asparaginase.

S Phase Drugs

Drugs that target the S phase during DNA synthesis, including antimetabolites like methotrexate and purine/pyrimidine analogs.

G2 Phase Drugs

Drugs acting in the G2 phase, like Etoposide and Bleomycin, which prepare cells for mitosis.

M Phase Drugs

Drugs that act during mitosis, including taxanes and vinca alkaloids which disrupt cell division.

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Immunomodulating Drugs

Drugs that enhance the immune response against tumors, classified into hematopoietic and immunomodulating agents.

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Monoclonal Antibodies

Targeted cancer therapies that bind to specific antigens on tumor cells, such as Bevacizumab.

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Rituximab Adverse Effects

Potentially fatal reactions including severe bronchospasms and tumor lysis syndrome associated with Rituximab use.

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Interferon

Immunomodulating drug that prevents cancer cell division and enhances macrophage activity.

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Risk Factors for Cancer

Factors that increase the likelihood of developing cancer, such as lifestyle and environmental influences.

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Socioeconomic Status

A risk factor that reflects income, education, and occupation, impacting cancer risk.

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Ionizing Radiation

A type of radiation linked to cancers like leukemia and breast cancer.

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Aflatoxin

A carcinogenic compound found in improperly stored grains and nuts linked to liver cancer.

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Tobacco Use

A major lifestyle risk factor for multiple cancers, including lung and bladder cancer.

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DES (Diethylstilbestrol)

A medical drug exposure associated with reproductive cancers in offspring.

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Alkylating Drugs

Chemotherapy agents that increase the risk of leukemia and bladder cancer.

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Reproductive History

Factors such as age at first pregnancy and number of children affecting cancer risk, particularly breast and ovarian cancer.

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Common sites of breast cancer metastases

Breast cancer commonly spreads to bone, lung, liver, and brain.

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Common sites of lung cancer metastases

Lung cancer typically metastasizes to brain, bone, liver, lymph nodes, and pancreas.

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Common sites of colorectal cancer metastases

Colorectal cancer usually spreads to the liver, lymph nodes, and adjacent structures.

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Common sites of prostate cancer metastases

Prostate cancer primarily spreads to bones, especially spine and legs, and pelvic nodes.

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Chemotherapy vs. Radiation

Chemotherapy is systemic; radiation is local targeting specific tumors.

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Chemo brain

A condition with decreased concentration, memory loss, and cognitive changes due to chemotherapy.

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Teletherapy

External beam radiation therapy used most commonly for treating cancer.

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Brachytherapy

Internal radiation delivering high doses to localized cancer areas, used for prostate cancer.

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Mistrust

A lack of trust due to unreliable interactions.

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Trust Development

Formed when interactions are reliable and caring.

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Autonomy vs Shame

Erikson's stage where a child seeks independence.

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Early Childhood Stage

Lasts from 1.5 to 3 years, focused on personal control.

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Parental Role

Parents should encourage exploration within limits.

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Effect of Success

Leads to feelings of autonomy and independence.

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Effect of Failure

Results in feelings of shame and self-doubt.

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Encouraging Environment

An atmosphere that tolerates failure while supporting growth.

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Hypercalcemia

Elevated levels of calcium in the blood, often above 8.2 mg/dL.

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Renal Failure

A medical condition where kidneys fail to function properly.

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Diabetic Acidosis

A condition where acid accumulates in the body due to uncontrolled diabetes.

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Chronic Renal Disease

Long-term loss of kidney function, affects waste filtration.

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Lithium Impact

Lithium therapy can cause elevated magnesium levels in the body.

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Adrenalectomy

Surgical removal of one or both adrenal glands.

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SIADH

Syndrome of Inappropriate Antidiuretic Hormone secretion leads to excess fluid retention.

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Hypoparathyroidism

Low production of parathyroid hormone leading to low calcium levels.

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Oliguria

A condition of producing abnormally small amounts of urine.

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Malabsorption Syndromes

Conditions where the intestines cannot absorb nutrients properly.

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Causes of Hyperkalemia

Conditions such as renal failure, acidosis, or trauma that result in increased potassium levels.

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Aldosteronism

A condition caused by excess production of aldosterone, leading to sodium retention and potassium loss.

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Metabolic Acidosis

A condition characterized by decreased blood pH due to increased acid or decreased bicarbonate.

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Osmotic Hyperglycemia

A condition that can lead to elevated potassium levels due to hyperglycemia's effect on kidney function.

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Cystic Fibrosis and K+

Cystic fibrosis can lead to low potassium levels due to excessive loss via sweat.

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Effects of Diuretics

Diuretics can cause potassium loss from the body leading to low potassium or hypokalemia.

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Sickle Cell Disease and K+

Sickle cell disease can be linked to moderate increases in potassium levels due to cell breakdown.

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Diabetic Ketoacidosis

A condition in diabetes that can lead to elevated potassium levels due to acidosis.

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Renal Tubular Acidosis

A condition in which the kidneys fail to properly excrete acids into the urine, leading to acidic blood.

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Alcoholism and K+

Chronic alcoholism can lead to electrolyte imbalances, including elevated potassium levels.

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Low Sodium Regulation

Decreased sodium levels can also affect potassium levels within the body due to hormonal responses.

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Primary Hyperaldosteronism

A condition caused by adrenal tumor leading to excessive aldosterone production and subsequent sodium and potassium changes.

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Chronic Heart Failure (CHF)

A condition that often causes sodium retention and potentially increases potassium levels.

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Ego Identity

The sense of self that develops during adolescence, involving exploration of roles and identities.

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Role Confusion

Uncertainty about oneself and one's place in society, common in adolescence.

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Stage 5: Adolescence

Erikson's stage focusing on identity formation and role exploration from ages 12-18.

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Fidelity

The ability to form meaningful relationships and commitment during adolescence.

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Intimacy vs Isolation

Erikson's stage for young adults (ages 18-40) where the focus is on forming intimate relationships.

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Stage 6: Young Adulthood

The stage of life where love and relationships take center stage, from ages 18-40.

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Identity Exploration

The process during adolescence where individuals experiment with different roles and identities.

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Sense of Direction

The established understanding of one’s goals and life path, developed during adolescence.

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Malignant skin lesions

Abnormal growths that can extend locally or metastasize. Symptoms include discoloration and tissue necrosis.

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Patient Care for Skin Lesions

Involves cleaning skin, controlling bleeding, and preventing infection. Avoid sun on radiated skin for 1 year.

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Thrombocytopenia

A condition with low platelet count (<100,000), increasing bleeding risk among cancer patients.

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Neutropenic Precautions

Measures to prevent infection in patients with low neutrophil counts, including limiting visitors and monitoring for fever.

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Monitoring WBC Counts

Regular lab tests to detect changes in white blood cell counts, assessing risk of infection.

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Sepsis

A life-threatening response to infection that spreads bacteria or toxins throughout the body.

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Spinal Cord Compression

A condition where cancer spreads to the spine, causing nerve pressure and symptoms like gait changes.

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Palliative Care

Medical care aimed at improving quality of life and reducing pain, rather than curing the disease.

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Chronic Pain Management

Addressing ongoing pain through physical, psychosocial, and spiritual support, often complicated by treatment effects.

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Ascending Colostomy

A colostomy located in the ascending colon, producing liquid to semi-liquid stool.

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Monitoring for Infection Risks

Regular assessments for signs of infection, especially in common areas like the skin and respiratory tract.

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Transverse Colostomy

A colostomy in the transverse colon, producing paste-like stool as water is absorbed.

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Descending Colostomy

A colostomy placed in the descending colon, producing semi-formed to formed stool.

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Sigmoid Colostomy

A colostomy in the sigmoid colon, usually producing formed stool as most water is absorbed.

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Stoma Care

Care required for the surgically created opening (stoma) where waste exits the body.

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Numbness in Lower Extremities

Loss of feeling in legs or feet, often due to nerve damage or compression.

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RBC Count Men

Normal range for red blood cells in men is 4.2-5.4 x 10⁶/mm³.

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RBC Count Women

Normal range for red blood cells in women is 3.6-5.0 x 10⁶/mm³.

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RBC Count Neonates

Normal range for red blood cells in neonates is 4.0-6.1 x 10⁶/mm³.

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ABG Normal pH Range Adult

Normal arterial blood gas pH range in adults is 7.35-7.45.

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Creatinine Men

Normal creatinine range for men is 0.9-1.3 mg/dL.

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Creatinine Women

Normal creatinine range for women is 0.6-1.1 mg/dL.

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Glucose Fasting Adults

Fasting plasma glucose normal range for adults is ≤100 mg/dL.

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Glucose Fasting Peds

Fasting plasma glucose normal range for peds is 60-100 mg/dL.

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Polycythemia

An increase in red blood cells which can be due to disease or dehydration.

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Anemia

A condition marked by a deficiency of red blood cells.

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Hyperventilation Effect

Increased breathing leading to changes in blood pH.

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Liver Disease Impact on Hb

Liver disease can lead to decreased hemoglobin levels.

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Dehydration Effects

Causes an increase in hemoglobin and hematocrit levels.

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Diabetes and Glucose

Diabetes results in higher fasting glucose levels.

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BUN (Blood Urea Nitrogen) Levels

Normal range for adults is 6-20 mg/dL. Indicates kidney function.

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Increased BUN Causes

Impaired renal function, dehydration, high protein intake.

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Decreased BUN Causes

Malnutrition, chronic liver disease, low protein diets.

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BUN in Pediatrics

Normal levels for children range from 5-18 mg/dL.

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Effect of Liver Failure on BUN

Liver failure can result in decreased BUN levels.

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CHF and BUN Levels

Congestive heart failure can increase BUN due to poor kidney perfusion.

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Urinary Tract Obstruction

Obstruction can lead to elevated BUN due to backpressure.

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Malnutrition Effect on BUN

Low protein diets lead to decreased BUN levels.

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Drugs Affecting BUN Levels

Certain drugs can cause either increased or decreased BUN levels.

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WBC Normal Range

White blood cell count for adults is 3.2-10.0 x 10³ cells/mm³.

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Neutrophilia and BUN

High neutrophils can indicate infection, affecting BUN.

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Normal RBC Range

Red blood cells values relate to overall hematocrit and hemoglobin levels.

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Chronic Conditions Affecting WBC

Chronic infections or diseases influence white blood cell counts.

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Hypersplenism Effect

An enlarged spleen can lead to a lower WBC count due to cell trapping.

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Hourly Rhythm of WBC

WBC levels vary throughout the day, typically higher in the morning.

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Breast Cancer Metastasis

Breast cancer spreads commonly to bone, lung, liver, and brain.

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Lung Cancer Metastasis

Lung cancer frequently metastasizes to the brain, bone, liver, lymph nodes, and pancreas.

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Colorectal Cancer Metastasis

Colorectal cancer primarily spreads to the liver, lymph nodes, and adjacent structures.

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Prostate Cancer Metastasis

Prostate cancer mainly spreads to the bones, especially the spine and legs, and pelvic nodes.

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Apoptosis

The programmed death of a cell, essential for growth and development.

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Differentiation

The process by which a less specialized cell becomes a more specialized cell type.

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Proliferation

The reproduction of new cells through cell growth and division.

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Neoplasia

Abnormal and progressive multiplication of cells, leading to the formation of a neoplasm.

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Antigen

Any substance that the immune system recognizes as foreign.

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Warning Signs of Cancer

Changes in bowel habits, sores, unusual bleeding, lumps, digestion issues, wart changes, or nagging cough.

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Carcinomas

Cancers originating in skin, lungs, breast, pancreas, glands; includes breast, prostate cancers.

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Sarcomas

Cancers arising from connective tissues such as bone, muscle, fat; examples include Osteosarcoma and Fibrosarcoma.

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Lymphomas

Cancers of lymphocytes; includes Hodgkin's and Non-Hodgkin's lymphoma.

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Leukemia

Cancer of the blood; types include Chronic Lymphocytic and Acute Myeloid Leukemia.

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Primary Tumor

Tumor identified by its original tissue type; the first location of cancer.

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Secondary Tumor

Metastatic tumor formed by cancer cells spreading from the primary site.

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Tumor Staging (T)

Staging system indicating the size and invasiveness of the primary tumor from T0 (none) to T4 (extensive invasion).

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Initiative vs Guilt

A stage (3-5 years) where children assert control and power through activities.

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Sense of Purpose

Successful completion of tasks during 'Initiative vs Guilt' leads to a sense of purpose.

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Negative Effects of Criticism

Criticism during 'Initiative vs Guilt' can develop guilt in children.

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Industry vs Inferiority

A stage (5-12 years) where peers become crucial for self-esteem and learning.

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Peer Group Significance

During 'Industry vs Inferiority', friends become major influencers on self-esteem.

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Coping with Social Demands

Children learn to interact and handle new challenges during 'Industry vs Inferiority'.

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Erikson's Stages of Development

Stages describe psychological growth from childhood to adulthood according to Erikson.

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Fidelity in Adolescence

The ability to form meaningful relationships during the 'Intimacy vs Isolation' stage.

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BUN Normal Range

Normal Blood Urea Nitrogen levels for adults are 6-20 mg/dL.

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Geriatrics BUN Level

Normal BUN levels for older adults range from 8-23 mg/dL.

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Signs of Impaired Kidney Function

Symptoms may include increased BUN and creatinine levels in blood tests.

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Effects of High Protein Diet

A high protein intake can significantly raise BUN levels in the bloodstream.

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Malnutrition and BUN

Malnutrition can cause low BUN levels due to reduced protein intake.

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Alcohol and BUN Levels

Chronic alcoholism may contribute to variations in BUN levels due to liver health.

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BUN as Kidney Function Test

BUN is a common blood test to evaluate kidney function and waste removal.

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Urine Output Measurement

Normal urine output ranges from 800-2000 mL per day depending on hydration.

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Acute Kidney Injury and BUN

In cases of acute kidney injury, BUN levels may rise significantly.

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Study Notes

Cellular Regulation

  • Refers to all internal cell functions maintaining homeostasis
  • Most cell components are proteins
  • Homeostasis is a self-regulating process that maintains stability for optimal survival
  • Apoptosis is cell death
  • Differentiation is the development of a specific cell function from a less specialized cell
  • Proliferation is the process of cell reproduction through growth and division
  • Neoplasia is the abnormal multiplication of cells, leading to the formation of a neoplasm (new tissue growth)
  • Benign neoplasms are non-cancerous
  • Malignant neoplasms are cancerous
  • Replication is the process of duplicating cells with identical genetic material (DNA)
  • 23 pairs of chromosomes are present in each cell
  • Cells replicate faster than they die in normal growth
  • Dysplasia means abnormal cells
  • Cachexia is extreme body wasting and malnutrition
  • Adjuvant therapy involves using chemotherapy alongside radiation or surgery
  • Desquamation is skin peeling (shedding of the outer skin layer)
  • Antigens are substances that trigger an immune response
  • B-cells include memory cells and plasma cells that produce immunoglobulins
  • T-cells destroy foreign invaders, but over-active suppression leads to tumor growth.
  • Macrophages are immune system cells that kill cancer cells.
  • Myeloid blasts are immature tumor cells found in acute myeloid leukemia.
  • Cytokines are immune proteins coordinating humoral and cell-mediated immunity. They boost immunity.
  • Capillary leak syndrome occurs when capillaries lose proteins like albumin, leading to fluid buildup

Cell Cycle

  • Most cells spend time in the GO phase where they are functioning but not dividing
  • G1 phase (Interphase): Normal cell functions and growth
  • S phase (Interphase): DNA replicates (creating two copies of each chromosome)
  • G2 phase (Interphase): Cell prepares for mitosis and division
  • Prophase: Condensing chromosomes, forming spindle fibers, separating centrioles
  • Metaphase: Double-stranded chromosomes line up, spindle fibers connect to each sister chromatid
  • Anaphase: Sister chromatids separate and move to opposite poles
  • Telophase: Chromosomes reach cell ends, new cell membrane begins to form, spindle disappears
  • Cytokinesis: Cytoplasm and organelles divide to create two genetically identical cells

Drugs affecting cell cycle phases

  • G1 phase drugs: Hormonal drugs, antineoplastic enzymes (asparaginase);
  • S phase drugs: Antimetabolites (Folate Analogs like Methotrexate, Purine Analogs, and Prymidine Analogs); Miscellaneous (Hydroxurea);
  • G2 phase drugs: Topoisomerase-1 inhibitors; Miscellaneous Bleomycin; Taxanes (Docetaxel, Paclitaxel)
  • M phase drugs: Vinca alkaloids (Vinblastine, Vincristine, Vinorelbine)
  • Taxanes (Docetaxel, Paclitaxel)

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