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Week 43 (haemoptysis) - kuracloud (Basics of Flexible Endoscope Reprocessing)_.pdf
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Week 43 (haemoptysis) - kuracloud (Basics of Flexible Endoscope Reprocessing)_.pdf
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8/13/24, 4:43 AMWeek 43 (haemoptysis) - kuracloud
Jeremiah
Terms in this set (16)
59M Lung cancer
COPD, 3 inhalers Infection - typical/atypical
has had 2 courses abx and steroids for chest PE
= unusual for patient = not cleared Gum disease
noticed streaks blood and odd taste to Asbestosis
sputum
What questions is the GP likely to ask?
D.D.?
When and what symptoms should prompt
referral for suspected lung cancer? (NICE
2015)
What is performance status and why is it
important in cancer?
Palliative care is an approach that improves the quality of life of patients and their
families facing the problem associated with a life-threatening illness, through the
What is palliative care prevention and relief of suffering by means of early identification and impeccable
assessment and treatment of pain and other problems, physical, psychosocial and
spiritual.
1/6
, 8/13/24, 4:43 AM
Common symptoms include malaise, weakness,
anorexia, thirst, nausea, constipation and polyuria.
Severe symptoms include nausea, vomiting, ileus,
delirium, seizures, drowsiness and coma.
Pain can be precipitated or exacerbated by
hypercalcaemia.
Onset of symptoms raising clinical suspicion should
be investigated. Bloods should be checked for urea
and electrolytes (U&Es), estimated glomerular
filtration rate (eGFR), liver function tests (LFTs) and
calcium.
The aim of treatment is to improve symptoms and
reduce corrected calcium* level to within the
Hypercalcaemia of malignance
normal range.
Normal corrected calcium value* 2.12 to 2.62mmol/l
(locally defined ranges will apply).
IV fluid replacement and IV bisphosphonates are
treatments of choice.
The choice of bisphosphonate may be determined
by local policy (such as disodium
pamidronate/zoledronic acid). Refer to local
formulary.
To reduce risk of renal toxicity from bisphosphonate
treatment, consider withholding medication that
affects the renal function (for example non-steroidal
anti-inflammatory drugs, diuretics, thiazide diuretics,
angiotensin-converting enzyme inhibitors).
53F and metastatic breast cancer. She lives Check the patients serum calcium
with her husband and 20year old daughter
has returned from University to support her
mother. Her diagnosis of breast cancer was
made 12months ago and initially she had
surgery and chemotherapy. Unfortunately,
the cancer has recurred with metastases in
her spine after re-presenting with back pain.
Her oncologist has advised that treatment
aims would be for best supportive care.
Seven days ago, Kate called the out of hours
GP services complaining of intermittent
nausea. She has been using morphine
sulphate (20 mg) twice a day for her back
pain over the last two weeks.
Which one of the following statements
regarding her initial management is
correct?
You should prescribe ondansetron as first
line treatment to control the patient’s nausea
You should check the patient’s serum
calcium
You should not prescribe oral cyclizine
You should not prescribe a stimulant laxative
2/6
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