ONSONCC CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE

ONS/ONCC CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE

NEWEST ACTUAL / EXAM 136 QUESTIONS WITH 100%

CORRECT ANSWERS GRADED A+/VERIFIED

Chemotherapy-Induced N/V (CINV) Risk factors - --- Answers_-----younger -have a hx of low or no alcohol consumption -are female -hx of morning sickness -prone to motion sickness -have had chemo previously

Types of CINV - ---Answers_-----Acute: occurring within 24

hours

-Delayed: from 24 hour - 5 days after

-Breakthrough: Occurring despite treatment

-Anticipatory: triggered by taste, odor, memories, visions,

anxiety r/t chemo

-Refractory: occurring despite subsequent cycles when

treatment failed in earlier cycles 1 / 4

Prevention/Treatment of hand foot syndrome - ---Answers_-- ---limit exposure of hands and feet to hot water

-take cool showers

-avoid exposure to sources of heat, such as using saunas or sitting in the sun

-avoid activities that cause unnecessary force or friction on the hands or feet, such as running or aerobics

-avoid contact with harsh chemicals used in detergents and household cleaning products

-avoid activities that require you to press your hand against a hard surface

-elevate your hands and feet when sitting or lying down

-gently apply skin care creams to keep hands moist

-wear loose-fitting, well ventilated shoes

Nadir - ---Answers_-----point at which blood cell counts are at their lowest following treatment 2 / 4

-typically, but not always, occurs 7-10 days after the cycle is administered

Neutropenia - ---Answers_-----ANC of less than 500/mm3 or

-less than 1000/mm3 with the expectation that the count will drop below 500 in the next 48 hours

Neutopenia RF - ---Answers_-----older than 65

-hx of neutropenia with previous chemo

-previous chemo or radiation

-hematologic malignancy, uncontrolled or advanced cancer, or lung cancer

Neutropenic Fever - ---Answers_-----temp of 38.3 or greater one time

-temp of 38 lasting 1 hour

Absolute Neutrophil Count - ---Answers_----- (%segs + %bands) x (WBC) / 100

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Mucositis - ---Answers_-----inflammation of the mucous membrane lining the digestive tract from mouth to anus

-affects 40-100% of pts

Stomatitis - ---Answers_-----specifically inflammatory conditions of the mouth

Xerostomia - ---Answers_-----dryness of the mouth caused by damage to or dysfunction of the salivary glands

Hypersensitivity Reaction (HSR) - ---Answers_-----body mounts an immunologic response to a foreign substance or antigen, resulting in local tissue injury

IgE-mediated - ---Answers_-----immediate (within 5 minute) HSR, present like classic allergic reactions

T-Cell--Mediated - ---Answers_-----Delayed hypersensitivity reactions, can occur any time after the immediate hypersensitivity window, even days or weeks

Type 1 HSR early S/SX - ---Answers_-----pruritus -restlessness, agitation, anxiety, feeling of impending doom -fever, flushing, chills -urticaria (hives)

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