Lung Cancer Surgical Techniques Quiz
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Questions and Answers

What is a common risk associated with surgery for lung cancer?

  • Hypertension
  • Bleeding (correct)
  • Nausea
  • Anemia
  • What is the main purpose of using a bronchoscope during brachytherapy?

  • To monitor heart rate
  • To visualize the lungs (correct)
  • To secure consent
  • To provide anesthesia
  • Which surgical technique is considered minimally invasive for lung cancer?

  • Open thoracotomy
  • Gamma knife surgery
  • Video Assisted Thoracic Surgery (VATS) (correct)
  • Brachytherapy
  • What nursing management issue is a significant concern after lung surgery?

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

    What additional protective measure is indicated during chemoradiation therapy?

    <p>Wearing a lead apron (A)</p> Signup and view all the answers

    Which complication may arise from the adjacency of the lungs and trachea during treatment?

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

    When preparing a patient for brachytherapy, what is a typical dietary restriction?

    <p>NPO for 8-12 hours (B)</p> Signup and view all the answers

    What signifies Stage II of a liver tumor's progression?

    <p>The tumor has spread beyond one segment but is still within two segments. (C)</p> Signup and view all the answers

    Which factor is crucial in determining the stage of a pancreatic tumor?

    <p>Size of the tumor in relation to adjacent organs. (A)</p> Signup and view all the answers

    What characterizes Stage IV liver cancer?

    <p>The tumor has metastasized and affects multiple organs. (B)</p> Signup and view all the answers

    How is the endoscopic retrograde cholangiopancreatography (ERCP) primarily utilized?

    <p>To inject dye for imaging the biliary and pancreatic ductal systems. (B)</p> Signup and view all the answers

    What indicates a carcinoma in situ classification in staging?

    <p>The cancer is confined with no deeper tissue invasion. (B)</p> Signup and view all the answers

    What is the primary purpose of using platinum-based compounds in the treatment of non-small cell lung cancer (NSLC)?

    <p>To induce cancer cell death by altering DNA structure (A)</p> Signup and view all the answers

    What is the role of Docetaxel in cancer treatment for patients who are not candidates for surgery?

    <p>To inhibit mitotic spindle fiber assembly (B)</p> Signup and view all the answers

    Which area of the stomach is most commonly affected due to exposure to gastric acid and chemicals from food?

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

    How does external beam radiation therapy (EBRT) potentially impact adjacent organs?

    <p>It can cause damage to the heart and other nearby organs (D)</p> Signup and view all the answers

    What factor contributes to the common occurrence of stomach cancer?

    <p>Consumption of specific chemicals and enzymes in food (B)</p> Signup and view all the answers

    What is typically recommended for treating unresectable tumors in the context of limited disease?

    <p>Palliative measures and chemotherapy (B)</p> Signup and view all the answers

    What clinical situations might require the use of chemotherapy drugs as an alternative to standard surgical procedures?

    <p>Oncologic emergencies like cardiac tamponade (C)</p> Signup and view all the answers

    What is a primary goal of palliative care in the case of metastatic stomach cancer?

    <p>To control symptoms and improve quality of life (C)</p> Signup and view all the answers

    Which treatment modality is designated as first-line therapy for managing limited non-small cell lung cancer?

    <p>Combination of chemotherapy agents including platinum-based drugs (C)</p> Signup and view all the answers

    What is the primary function of the head of the pancreas?

    <p>Production of pancreatic enzymes and hormones (D)</p> Signup and view all the answers

    What is a potential complication of a tumor located in the head of the pancreas?

    <p>Difficulty in insulin regulation (C)</p> Signup and view all the answers

    What is a common patient complaint regarding the barium solution used in imaging procedures?

    <p>Bitter taste and feelings of nausea (A)</p> Signup and view all the answers

    Which preparation is essential before conducting an EGD procedure?

    <p>Ensure patient is NPO for at least 8 hours (C)</p> Signup and view all the answers

    What side effect should patients be instructed to expect after consuming barium?

    <p>Stool changing to a white color (A)</p> Signup and view all the answers

    Why should patients drink a lot of water after the barium solution intake?

    <p>To help eliminate the barium from the body (D)</p> Signup and view all the answers

    What is a potential risk associated with smoking in relation to esophageal health?

    <p>Inhalation of smoke that reaches the esophagus (B)</p> Signup and view all the answers

    What does pre-medication like atropine provide during the EGD procedure?

    <p>Prevents bleeding by providing pressure (C)</p> Signup and view all the answers

    What step should be taken after an imaging procedure involving barium?

    <p>Monitor for potential bowel obstruction (C)</p> Signup and view all the answers

    What is the primary purpose of an EGD procedure?

    <p>To visualize the upper gastrointestinal tract (C)</p> Signup and view all the answers

    What is the primary purpose of administering atropine before the endoscopic procedure?

    <p>To reduce secretions and prevent aspiration (D)</p> Signup and view all the answers

    In which stage of cancer is the involvement limited to the mucosal lining without evidence of invasion?

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

    What position is recommended for a patient during the endoscopic procedure to facilitate access and drainage?

    <p>Left lateral position (D)</p> Signup and view all the answers

    According to the staging criteria, when is cancer classified as Stage III?

    <p>When there is submucosal penetration and lymph node involvement (D)</p> Signup and view all the answers

    What is the role of local anesthesia, such as lidocaine, during the procedure?

    <p>To prevent aspiration and ease insertion of the endoscope (B)</p> Signup and view all the answers

    How is cancer staged in the liver compared to the gastrointestinal tract?

    <p>It is divided into four segments for categorization (D)</p> Signup and view all the answers

    What is the recommended postoperative care regarding the patient's gag reflex?

    <p>NPO until the gag reflex returns (D)</p> Signup and view all the answers

    At which stage is cancer classified when there is distant metastasis along with lymph node involvement and a large tumor size?

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

    What is the effect of anxiolytics on the patient before the endoscopic procedure?

    <p>They reduce anxiety (C)</p> Signup and view all the answers

    What complication is directly prevented by using atropine during the preparatory phase of the procedure?

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

    Flashcards

    Lung Cancer Surgery

    Major surgery requiring hospitalization for lung cancer, involving consent, IV line, pre-op teaching, and NPO (8-12 hrs) preparation. Post-op care can last weeks to months.

    Brachytherapy

    Radiation therapy where radiation is inserted inside the lung using a bronchoscope.

    VATS (Video-Assisted Thoracic Surgery)

    Minimally invasive lung surgery using a thoracoscope, video camera, and laparoscopic instruments for tumor removal (e.g., wedge resection).

    Gamma Knife/Stereotactic Surgery

    Surgical procedure for brain tumors when lung cancer has metastasized to the brain, using gamma rays to slice off the tumor.

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    Nursing Management (Chemo/Radiation)

    Managing side effects of chemo/radiation therapy for lung cancer, including potential esophageal issues (esophagitis) using NGT or TPN.

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    Dyspnea

    Shortness of breath and difficulty breathing.

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    Pulmonary Complications (surgery)

    Potential complications after lung surgery may include: Atelectasis, bronchospasm, and pulmonary embolism.

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    Endoscopic Procedure

    A medical procedure where a thin, flexible tube with a camera (endoscope) is inserted through the mouth to examine the inside of the digestive system.

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    NPO

    Nothing by mouth, meaning the patient cannot eat or drink before a medical procedure.

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    Atropine

    A medication used to reduce secretions, like saliva, to prevent aspiration during procedures.

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    Anxiolytics

    Medications used to reduce anxiety and calm patients before procedures.

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    Local Anesthesia

    A medication applied locally to numb a specific area, like the throat, to prevent discomfort during procedures.

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    Left Lateral Position

    A position where the patient lies on their left side during a procedure, allowing for better access and drainage.

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    Sims Position

    A position where the patient lies on their side with one leg extended and the other bent, used for comfort and recovery.

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    Cancer Staging

    A system used to categorize the stage of cancer based on the extent of its spread, from Stage 0 to Stage IV.

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    Stage 0 (Cancer)

    Characterized by cancer cells that are confined to the mucosal lining and do not show signs of invasion.

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    Stage I (Cancer)

    Similar to Stage 0 but with potential involvement of the submucosa, the muscle layer of the stomach.

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    Pancreatic Head Function

    The head of the pancreas is essential for producing pancreatic enzymes and hormones, which are important for regulating insulin and digestion.

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    Tumor in Pancreatic Head

    A tumor in the pancreatic head can disrupt insulin regulation, leading to confusion between cancer and diabetes.

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    Barium Swallow Test

    A radiographic procedure that uses barium solution to visualize the esophagus, stomach, and duodenum.

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    Barium Swallow Pre-Test

    Before the barium swallow test, the patient must be NPO (nothing by mouth) for 8 hours and may receive pre-medications.

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    Barium Swallow Side Effects

    The barium solution may taste bitter and chalky, causing nausea in some patients.

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    Barium Swallow Post-Test

    After the barium swallow test, the patient needs to drink plenty of water to eliminate the barium and take a laxative to ensure stool passage.

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    Esophagogastroduodenoscopy (EGD)

    A procedure where an endoscope is used to visualize the upper digestive tract, including esophagus, stomach, and first part of the duodenum.

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    EGD Pre-Test

    Before an EGD, the patient must sign consent forms, be NPO for 8 hours, and may receive pre-medications like atropine and anxiolytics.

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    EGD Complications

    Potential complications of EGD include bleeding, which can be minimized by applying pressure to the area of insertion.

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    Smoking and Esophagus

    Tobacco smoke inhaled through the mouth can deposit in the esophagus, potentially contributing to esophageal issues.

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    First-Line Lung Cancer Treatment

    Initial treatment for non-small cell lung cancer (NSLC) typically includes platinum-based chemotherapy drugs like cisplatin, carboplatin, or oxaliplatin. These drugs disrupt DNA structure, causing cancer cells to die.

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    Docetaxel: Second-Line Treatment

    Docetaxel is used as a second-line treatment for NSLC when first-line chemotherapy fails or is unsuitable. It inhibits mitosis, preventing cell division. This is an option for patients who can't have surgery or are experiencing oncologic emergencies.

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    Radiation Therapy for Lung Cancer

    Radiation therapy uses high-energy rays to destroy cancer cells. It can be used as an adjuvant treatment after surgery or as a palliative measure for metastatic disease. Types include external beam radiation therapy (EBRT) and brachytherapy.

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    Side Effects of Radiation Therapy

    Radiation therapy can affect nearby organs, like the heart. This is because radiation can damage healthy tissues as well as cancerous tissues.

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    Oncologic Emergencies

    These are life-threatening situations caused by cancer. Examples include superior vena cava syndrome, cardiac tamponade, and spinal cord compression. Patients with these emergencies may be unsuitable for surgery and require a different treatment approach.

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    Superior Vena Cava Syndrome

    A life-threatening condition where the superior vena cava (a large vein in the chest) is blocked by a tumor. This causes swelling in the face, neck, and arms.

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    Cardiac Tamponade

    A medical emergency where the heart's pumping action is hampered due to fluid buildup in the sac around the heart.

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    Spinal Cord Compression

    This occurs when a tumor presses on the spinal cord, causing pain, weakness, or numbness in the legs and arms.

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    Palliative Care for Metastatic Lung Cancer

    This focuses on managing symptoms and improving quality of life for patients with lung cancer that has spread to other parts of the body. It aims to alleviate pain, discomfort, and other challenges.

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    ERCP

    A procedure used to diagnose and treat conditions in the biliary or pancreatic ducts, involving injecting dye into the duodenal papilla using an endoscope.

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    Duodenal Papilla

    The opening in the duodenum where the pancreatic duct and common bile duct connect, allowing pancreatic and biliary enzymes to flow into the digestive system.

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    Liver Cancer Stages

    A classification system for liver cancer based on the extent of tumor spread, ranging from Stage I (confined to one segment) to Stage IV (metastasized to other organs).

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    Pancreatic Cancer Stage 0

    A non-invasive, early stage of pancreatic cancer where the tumor is confined to the lining of the pancreas with no lymph node involvement or metastasis.

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    Pancreatic Cancer Stage Determination

    Stage of pancreatic cancer is primarily based on tumor size and its extent of invasion, lymph node involvement, and metastasis.

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    Study Notes

    Lung Cancer Surgery

    • Surgery for lung cancer requires hospitalization.
    • Consent, IV line, and pre-op teaching are essential.
    • Patients are often NPO (nothing by mouth) for 8-12 hours pre-op.
    • Post-op follow-up care may last weeks to months.
    • General anesthesia (GA) is typically used.
    • Potential post-op complications include difficulty breathing, pain, and weakness.
    • Nursing considerations include proper positioning to prevent complications like atelectasis.
    • Other risks of the procedure include bleeding and infection.

    Brachytherapy and Gamma Knife Surgery

    • Brachytherapy involves internal radiation delivery inside the lungs.
    • Preparation is similar to bronchoscopy, but additional protective measures like lead aprons are used.
    • Gamma knife surgery targets brain tumors using focused gamma rays.
    • It's used when lung cancer has spread to the brain.

    Video-Assisted Thoracic Surgery (VATS)

    • VATS is a minimally invasive surgical technique.
    • Video equipment guides the procedure.
    • It often involves smaller incisions.
    • Thoracic surgery, tumor removal assisted with a TB monitor.

    Nursing Management of Chemoradiation Therapy

    • Watch for pulmonary complications like atelectasis, bronchospasm, or pulmonary embolism.
    • Monitor oxygen saturation and adjust oxygen delivery as needed.
    • Cardiac complications are possible, so cardiac medications may be prescribed to manage potential dysrhythmias or arrhythmias.
    • Monitor side effects like esophagitis (inflammation of the esophagus).
    • Nutritional support (NGT or TPN) might be required.

    Small Cell Lung Cancer (SCLC)

    • Etoposide and cisplatin are mainstays for limited-stage SCLC.
    • Platinum-based monotherapy (single drug therapy) may be used for extensive-stage SCLC.
    • Treatment response, recurrence depends on time elapsed since initial diagnosis (<3 months vs. >3 months).

    Non-Small Cell Lung Cancer (NSCLC)

    • Platinum-based chemotherapy (cisplatin, carboplatin, oxaliplatin) is often a first-line treatment option.
    • Docetaxel may be used as a second-line treatment.
    • Surgery, radiation (external beam or brachytherapy), or chemotherapy may be used alone or in combination.
    • Treatment often depends on tumor type, stage, and patient's overall health.

    Upper Gastrointestinal (UGIT) Cancer

    • The upper GI tract includes the esophagus, stomach, liver, and pancreas.
    • Risk factors for stomach cancer include exposure to gastric acid, enzymes, and chemicals from food.
    • Inappropriate or unbalanced diets, and eating disorders can contribute to higher risks.

    Diagnostic Tests for UGIT Cancer

    • Barium swallow (radiological study): Fluoroscopic examination involving contrast dye (barium).
    • Endoscopy (EGD): Visualization of the upper GI tract using an endoscope.

    Stage of Cancer

    • Tumor staging determines the size of the tumor and involvement of other body systems.
    • Staging helps guide treatment decisions.
    • Stage 0 is limited to the mucosal lining (no invasion) to Stage IV, indicating extensive metastasis.

    Signs and Symptoms of Esophageal Cancer

    • Early esophageal cancer often has minimal or no symptoms.
    • Coughing or hoarseness, weight loss, and difficulty swallowing are potential late signs.

    Surgical Management for Esophageal Cancer

    • Esophagectomy: Removal of the esophagus.
    • End-to-end anastomosis (connecting the remaining portions) following the excision.
    • Depending on the tumor position, different incisions may be used (chest scar, abdominal scar, neck scar).

    Liver Transplant

    • Liver transplantation may be considered for certain patients.
    • Criteria (Milan Criteria) exist to determine if a patient is a good candidate, based on tumor characteristics (single, limited size).

    Whipple Procedure

    • Whipple procedure involves removing of the head of the pancreas for pancreatic cancer.
    • Various parts of the pancreas, duodenum, and biliary duct are removed and reconnected.

    Colorectal Cancer

    • Colon is divided into three portions: ascending, transverse, and descending.
    • Cecum is the beginning of the colon and connects to the ileum (the last part of the small intestine).

    Nursing Considerations

    • Post-op care focuses on preventing complications (infection, bleeding).
    • Specific considerations may apply depending on the kind of surgery or treatment (e.g., NPO, wound care, monitoring for signs of complications).

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    Description

    Test your knowledge on various surgical techniques for lung cancer, including standard surgery, brachytherapy, gamma knife surgery, and video-assisted thoracic surgery (VATS). This quiz covers essential pre-operative and post-operative care considerations for patients undergoing these procedures.

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