Bronchogenic CA (Lung Cancer)

Predisposing Factors:

1. Cigarette Smoking
2. Asbestosis
3. Emphysema
4. Smoke from burnt wood

Types:

1. Squamous Cell Ca – with good prognosis
2. Adenocarcinoma – with good prognosis
3. Oat cell Ca – with a good prognosis
4. Undifferentiated Ca – with poor prognosis

Assessment:

1. Cough – hacking, nonproductive, thick, purulent, blood tinged sputum.
2. Wheezing
3. Fever
4. Tightness in chest
5. Dysphagia
6. Chest Pain
7. Chronic Respiratory Tract Infection
8. Hoarseness
9. Hypoxia
10. Edema on the neck
11. Pleural effusion
12. Late signs

• Weakness
• Weight loss
• Anorexia
• Anemia

Warning Signs of Lung Cancer

1. Any change in respiratory pattern
2. Persistent Cough
3. Sputum streaked with blood
4. Frank hemoptysis
5. Rust colored or purulent sputum
6. Chest, shoulder, arm pain
7. Recurring episodes of pleural effusion, pneumonia, bronchitis
8. Dyspnea, unexplained or out of proportion.

Nursing Intervention:

1. Patent airway
2. 02/ aerosol therapy
3. Deep breathing exercise
4. Relief of pain
5. Protection from infection
6. Adequate nutrition
7. Chest tube management
8. Surgery: Pneumonectomy, Lobectomy, Segmentectomy, Wedge resection, Decortication, Thoracoplasty.
9. Chemotherapy
10. Radiation Treatment

Prevention:

1. Quit Smoking
2. Early detection/ Screening
3. Chest X-ray once a year