ANCkLA1IC CANCLk

8lsk lacLors
O sally occrs beLween ages 60 Lo 80 bL can be fond ln yonger paLlenL
O smoklng
O exposre Lo endsLrlal chemlcals
O hlghfaL dleL
O ,
O hronlc pancreaLlLls
CLINICAL MANIILS
O wL loss
O abd palnanorexla
O -$I
O weakness
O paln
O pper abd (borlng LhaL may radlaLes Lo Lhe back)
O sally worse aL nlghL and pL Lend Lo lle wlLh legs drawn p or feLal poslLlon or may lean
forward when seaLed
O early saLleLy
O feellng of bloaLlng afLer eaLlng
O andlce Le Lo blllary obsLrcLlon
O dark Lea colored rlne
O clay colored sLools
O prrlLs
O depresslon
O leLhargy
O LVAL
O lLrasond
O @ scan
O 89
O ndoscoplc lLrasond
O oaglaLlon sLdles may be prolonged
O (carclnembryonlc anLlgen)
,edlcal managemenL
O rgey Whlpple 9rocedre (pancreaLlcododenecLomy)
O hemoLherapy
O 8adlaLlon @herapy
O mmnoLherapy
O ndoscoplc or percLaLneos sLenL placemenL for rellef paln
NSG IN1LkVLN1ICN
O dmlnlsLer oplods and monlLor 9
O dmlnlsLer nLrlLlon as ordered
O monlLor serm glcose
O 9rogress dleL slowly when oral lnLake ls LoleraLed
O dmlnlsLer hlgh proLeln hlgh carbs wlLh vlLamln spplemenLs
1ota| parentera| nutr|t|on
O 9harmaclsL responslble for formlaLlng Lhe nLrlLlon
O lnvaslve procedre
O lnform consenL
O sLrlcL asepsls
O common slLe sbclelnlan veln
O poslLlon drlng lnserLlon Lrendelenbrg

perton|c 2333 hyperglycemla (admlnlsLer -D-)
CLN1kAL LINL Llp of Lhe caLeLher ls ln Lhe maor veln by cLLlng down
eg sperlor venacava
VALSALVA MANLUVLk pag lrl Lo prevenL alr embollsm
9 caLeLher for long Llme
O dmlnlsLer pancreaLlc enzymes as prescrlbed ( 30 mlns before each meal)
O encorage se of splces Lo sLlmlaLe LasLe bds
O provlde appeLlLe sLlmlanLs sch as megesLrol (megace) or cannblnolds as needed
O welgh dally
O ssess for faL and proLeln malabsorpLlon sLool floaL greasy appearance orange color and fol
smelllng
kAIN 1UMCkS
O lnLracranlal neoplasm
O may orlglnaLe ln Lhe l or meLasLaslze from Lmor elsewhere
CCMMCN 1LS
G||omas Lmors of Lhe neroeplLhella$gllas cellas (spporLlve Llsse of Lhe braln) acconLs 40 Lo
30 of Lhe lnLracranlal neoplasm
CLINICAL MANIILS
O enerallzed sympLoms ( de Lo lncreased ln 9)
O headache
O vomlLlng
O papllledema
O malalse
O alLered cognlLlon and consclosness
Ioca| neuro|og|c def|c|t ( re|ated to reg|on of tumor)
AkLI1AL sensory alLeraLlons speech ang memory dlsLrbances neglecL confslon
depresslon
IkCN1AL personallLy behavlor memory changes conLralaLeral moLor weakness
1LMCkAL memory dlsLrbances adlLory hallclnaLlons Wlrnlcke's aphasla
CCCII1AL vlsal agnosla vlsal fleld deflclL
CLkLLLLAk coordlnaLlon galL and balance dlsLrbances dysarLhla
kAIN S1LM dysphagla lnconLlnence cardlovasclar lnsLablllLy resplraLory depresslon coma crablal
nerve dysfncLlon
C1ALAMUS loss of Lemp conLrol dlabeLes lnslplds
I1UI1Ak] SLLLA 1UkCICA vlsal fleld deflclL amenorrhea galacLorrhes lmpoLence cshlngold $
lncreased growLh hormone panhypoplLlLarlsm
O LOAMINA1ICN
O kll xray
O @ scan
O
O mbar pncLre
O nglogram!,
O ,8
O S1LkIC1AC1IC ICS] SUkGLk -l8,@8?

, ,-@
O srgey
O radlaLlon Lherapy
O radlosrgery
O chemo
O shnLlng procedre
O spporLlve Lherapy dexameLhasone (secreL Lhe excess flld)
- ,-,-@
O 9rovlde analgeslcs as ordered LhaL wlll noL mask nerologlc changes
O ,alnLaln head of Lhe bed aL 13 Lo 30 degrees Lo redce cerebral venos congesLlon
O 9rovlde a darkened room or snglasses lf wlLh phoLophobla
O prevenL lnry prevenL fall
O lnsLlLLe selzre precaLlon
O monlLor and o
O malnLaln o2 and scLlon aL beslde ln case of asplraLlon
O place maLerlals ln vlsal fleld
O monlLor lab daLa l clLre and gram sLaln