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Kidney cancer
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Anorexia, nausea, fatigue; abdominal flank pain
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Painless, gross hematuria; firm, non tender, palpable kidney; vomiting and weight loss;
complications – hypertension, nephrotic syndrome, lung metastasis
Lab and Diagnostic tests: IVP, urinalysis - presence of red cells and albumin; CBC - decrease in red cells and leukocytes, reduction in serum albumin, elevation of alpha globulin
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More common among men than women blacks, radiation exposure, possible familial influence, common site of metastasis from lung breast
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30,000 new cases; 1900 estimated deaths
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Surgery: nephrectomy ( see pre/postoperative nursing care, pp.545)
Radiation: local and irradiation of metastatic sites when tumor is radio sensitive ( see nursing care plan/implementation foe patient having radiation therapy, pp. 612-614)
Chemotherapy: plant alkaloids - vincristine (Oncovin), anti tumor antibiotics – dactinomycin (Actinomycin D), doxorubicin ( Adriamycin); alkylating agents – cyclophosphamide (Cytoxan) (see nursing care plan/implementation for patient having chemotherapy, pp. 611-612)
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