lungcancerfall08

lungcancerfall08 - Care of the Patient with Lung Cancer...

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Care of the Patient with Lung Cancer Susan Hampson
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Some Sobering Stats! Lung cancer is LEADING cause of cancer related deaths world wide Overall survival rate only 14%!
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Lung Cancer: Etiology/Risks Cigarette smoking MAJOR risk factor Passive exposure to smoke Chronic exposure to other carcinogens Air pollution
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Lung Cancer: Pathophysiology Most tumors(90%) arise from bronchial epithelium Chemical irritants cause cellular mutations Bronchial epithelial cells exposed; continuous replacement occurs Underlying tissues exposed to irritants Cellular changes continue; cells eventually cancerous and invade deeper tissues
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Lung Cancer: Prevention SMOKING CESSATION; prevention from starting Use of special respirators Adequate ventilation Remove affected employees from harmful environment and treat according to symptoms
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Lung Cancer: Categories (Histologic Cell Type) Non-small cell cancer (NSCLC) 80% of primary tumors Include three types Small cell cancer (SCLC) 15-25% of primary tumors MOST malignant Poor prognosis Strong connection with smoking
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Lung Cancer: Staging Non-small cell lung cancer staged using T,N,M system Small cell lung cancer staged using Limited- confined to chest, regional lymph Extensive- extends to chest wall, other parts of body
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Lung Cancer: Clinical Manifestations Often NO symptoms in early stage May have non-specific symptoms later Chills, fever, cough Persistent cough Hoarse voice Shortness of breath, decreased endurance, wheezing Chest pain Late symptoms
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Lung Cancer Complications: Superior Vena Cava Syndrome Results from pressure on vena cave from tumor Is a medical emergency! Symptoms include
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This note was uploaded on 06/20/2011 for the course NURS 344 taught by Professor Hampson during the Spring '11 term at St. Xavier.

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lungcancerfall08 - Care of the Patient with Lung Cancer...

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