Details

Clinical Problems in Oncology


Clinical Problems in Oncology

A Practical Guide to Management
1. Aufl.

von: Sing Yu Moorcraft, Daniel Lee, David D. Cunningham

72,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 27.05.2014
ISBN/EAN: 9781118673812
Sprache: englisch
Anzahl Seiten: 336

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Beschreibungen

<p><i>Clinical Problems in Oncology: A Practical Guide to Management</i> is an easy-to-use, compact<br /> reference with essential, practical information on managing oncological emergencies, as well as<br /> the side effects and complications of cancer and its treatment. Because patient responses can vary<br /> widely, depending on the type of treatment prescribed, this resource offers medical professionals<br /> the specific information they need to improve the evaluation and treatment of cancer patients at<br /> the point of care.</p> <p>The compact format includes a wide range of clinical information, from the dose of drugs that would<br /> typically be used, through guidance on the practical procedures that are frequently used<br /> to treat oncology patients. Some of the book’s highlights include:</p> <p>• Toxicity grading and management, including at-a-glance summaries of the most common toxicities associated with chemotherapy<br /> • Prescribing guidelines, including how to write up electrolyte replacement properly<br /> • Information on specialised oncology procedures (such as SIR spheres), and how to manage complications<br /> • Types of vascular access lines and how to check their position, access them and troubleshoot problems<br /> <br /> With an expert team of writers who have contributed materials in their areas of expertise, <i>Clinical</i><br /> <i>Problems in Oncology</i> is an ideal reference for oncologists in training, oncologists in non-training<br /> positions, oncology registrars and general practitioners.</p>
<p><i>List of contributors, ix</i></p> <p><i>Preface, xi</i></p> <p><i>Acknowledgements xii</i></p> <p><i>List of abbreviations xiii</i></p> <p><b>1 Introduction to clinical problems in oncology 1</b><br /> <i>Sing Yu Moorcraft</i></p> <p>General approach to the management of oncology patients 2</p> <p>Performance status 6</p> <p>Tumour markers 6</p> <p><b>2 Oncological emergencies 13</b><br /> <i>Daniel L.Y. Lee</i></p> <p>Anaphylaxis and hypersensitivity reactions 13</p> <p>Bleeding 16</p> <p>Central airway obstruction and stridor 19</p> <p>Extravasation 23</p> <p>Febrile neutropenia 28</p> <p>Hypercalcaemia 30</p> <p>Non-neutropenic sepsis 34</p> <p>Raised intracranial pressure and seizures 36</p> <p>Spinal cord compression 41</p> <p>Superior vena cava obstruction 45</p> <p>Transfusion reactions 48</p> <p>Tumour lysis syndrome 50</p> <p><b>3 Side effects and complications of cancer and its treatment 53</b><br /> <i>Alexandra Pender, Sing Yu Moorcraft and Daniel L.Y. Lee</i></p> <p>Overview of toxicity management 54</p> <p>Abnormal liver function tests 57</p> <p>Alopecia 60</p> <p>Anaemia 62</p> <p>Anorexia and nutrition 66</p> <p>Ascites 69</p> <p>Bone metastases and osteoporosis 71</p> <p>Bowel obstruction 75</p> <p>Breathlessness 77</p> <p>Chest pain and other cardiac complications 81</p> <p>Confusion and decreased conscious level 86</p> <p>Constipation 91</p> <p>Dental disorders 93</p> <p>Diarrhoea 95</p> <p>Dysphagia 100</p> <p>Fatigue 104</p> <p>Fertility and pregnancy 106</p> <p>Haematuria 113</p> <p>Hearing loss 115</p> <p>Hiccups 117</p> <p>Hyperglycaemia and hypoglycaemia 119</p> <p>Hypertension and hypotension 123</p> <p>Lymphoedema 127</p> <p>Mucositis 129</p> <p>Nausea and vomiting 133</p> <p>Neuropathy 138</p> <p>Neutropenia 142</p> <p>Proteinuria 145</p> <p>Pruritus 146</p> <p>Psychiatric disorders 149</p> <p>Rash 154</p> <p>Renal failure and hydronephrosis 163</p> <p>Sexual dysfunction 166</p> <p>Thrombocytopenia 170</p> <p>Thromboembolism 173</p> <p>Vaccinations and immunoglobulin 178</p> <p>Visual symptoms 180</p> <p><b>4 Introduction to radiotherapy 185</b><br /> <i>Emma Dugdale, Alexandra Gilbert and Robin Prestwich</i></p> <p>Introduction to radiotherapy 185</p> <p>Methods of delivery of radiotherapy 186</p> <p><b>5 Radiotherapy side effects and their management 193</b><br /> <i>Alexandra Gilbert, Emma Dugdale and Robin Prestwich</i></p> <p>Overview of radiotherapy toxicity 193</p> <p>Overview of radical radiotherapy treatment and side effect management by anatomical treatment site 195</p> <p>Brain 195</p> <p>Head and neck 196</p> <p>Breast 200</p> <p>Thorax 200</p> <p>Abdomen 204</p> <p>Pelvis 205</p> <p>Skin toxicities 211</p> <p>Total body irradiation 214</p> <p><b>6 Endocrine therapy, immunotherapy and targeted therapies 215</b><br /> <i>Samantha Turnbull</i></p> <p>Endocrine therapy 215</p> <p>Immunotherapy 218</p> <p>Targeted therapies 220</p> <p><b>7 Electrolyte abnormalities 225</b><br /> <i>Sing Yu Moorcraft</i></p> <p>Hypocalcaemia 225</p> <p>Hyperkalaemia and hypokalaemia 227</p> <p>Hypermagnesaemia and hypomagnesaemia 231</p> <p>Hypernatraemia and hyponatraemia 234</p> <p>Hyperphosphataemia and hypophosphataemia 237</p> <p><b>8 Palliative care and pain management 241</b><br /> <i>Karen Neoh</i></p> <p>Pain management 241</p> <p>Overview of pain management 241</p> <p>Opioid prescribing in palliative care 245</p> <p>Opioid toxicity 251</p> <p>Syringe pumps 252</p> <p>End-of-life care 253</p> <p><b>9 Oncology procedures and their complications 257</b><br /> <i>Juanita Lopez</i></p> <p>Ascitic drains (paracentesis) 257</p> <p>Biliary drains and stents 259</p> <p>Central venous access devices 261</p> <p>Chemoembolisation 265</p> <p>Chest drains and pleurodesis 266</p> <p>Enteral feeding tubes 269</p> <p>Nephrostomies and ureteric stents 270</p> <p>Oesophageal stents and dilatation 272</p> <p>Radioembolisation (SIR-spheres®) 273</p> <p>Radiofrequency ablation (RFA) 275</p> <p><b>10 Cancer drug development and funding 277</b><br /> <i>Sing Yu Moorcraft</i></p> <p>Clinical trials 277</p> <p>Funding of cancer drugs 280</p> <p>Personalised medicine 282</p> <p><b>Appendices 287</b><br /> <i>Sing Yu Moorcraft and Daniel L.Y. Lee</i></p> <p>Chemotherapy regimes 287</p> <p>Drug toxicities 287</p> <p>Useful resources 296</p> <p><i>Index 301</i></p>
<p>“Clinical Problems in Oncology: A Practical Guide to Management is an easy–to–use, compact reference with essential, practical information on managing oncological emergencies, as well as the side effects and complications of cancer and its treatment.”  (<i>Kingbook73's Medical Ebook and Video Collection</i>, 7 October 2014)</p> <p> </p>
Edited by<br /> <b>Sing Yu Moorcraft</b>, MB BCh, MRCP, Clinical Research Fellow in Medical Oncology, The Royal Marsden NHS Foundation Trust, London, UK<br /> <br /> <b>Daniel L.Y. Lee</b>, MB BCh, MRCP, Specialist Registrar in Medical Oncology, St James’ Institute of Oncology, Leeds, UK<br /> <br /> <b>David Cunningham</b>, MD, FRCP, FMedSci, Consultant Medical Oncologist, The Royal Marsden NHS Foundation Trust, London, UK
<p><i>Clinical Problems in Oncology: A Practical Guide to Management</i> is an easy-to-use, compact<br /> reference with essential, practical information on managing oncological emergencies, as well as<br /> the side effects and complications of cancer and its treatment. Because patient responses can vary<br /> widely, depending on the type of treatment prescribed, this resource offers medical professionals<br /> the specific information they need to improve the evaluation and treatment of cancer patients at<br /> the point of care.</p> <p>The compact format includes a wide range of clinical information, from the dose of drugs that would<br /> typically be used, through guidance on the practical procedures that are frequently used<br /> to treat oncology patients. Some of the book’s highlights include:</p> <p>• Toxicity grading and management, including at-a-glance summaries of the most common toxicities associated with chemotherapy<br /> • Prescribing guidelines, including how to write up electrolyte replacement properly<br /> • Information on specialised oncology procedures (such as SIR spheres), and how to manage complications<br /> • Types of vascular access lines and how to check their position, access them and troubleshoot problems<br /> <br /> With an expert team of writers who have contributed materials in their areas of expertise, <i>Clinical</i><br /> <i>Problems in Oncology</i> is an ideal reference for oncologists in training, oncologists in non-training<br /> positions, oncology registrars and general practitioners.</p>

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