CANCER AND AGING
BREATHLESSNESS – PROBLEMS WITH HEART
If your heart is the problem there are pills or injections which can make it work more efficiently and also ones to help you pass some of the fluid that has built up in the lungs out through the urine. Your doctor should also find out why it is not working properly— important possibilities to check in people with cancer include heart damage due to adriamycin and fluid building up in the sac that surrounds the heart (the pericardial cavity). If the latter is the problem, your symptoms can be quickly improved by draining the fluid out through a needle or fine plastic tube put in through the chest wall under local anaesthetic. The needle does not go into the heart itself, just the fluid-filled sac around it. Fluid in the pleural cavity (outside the lungs) can also be drained in a similar way to produce a rapid improvement in your breathing.
If fluid has built up in either your pericardial or pleural spaces, cancer cells growing on their linings is the most likely reason, but other possible reasons include infection and bleeding. The fluid can be examined under the microscope to find out why it has formed. If it is due to cancer, ways of trying to stop it reforming are the same as for fluid in the abdominal cavity (ascites).
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BEFORE OPERATION ON BREAST CANCER: PREPARATION FOR ANESTHESIA
You will be told not to have anything to eat or drink for at least 6 hours before your operation (‘nil by mouth’). The reason for this is that any food or drink left in your stomach when you are anaesthetized could cause you to be sick and to choke on your vomit.
While you are still on the ward, you will be given your ‘pre-med/, if you are to have one, and any medicines you normally take. You will then be taken to the operating theatre, probably on a hospital trolley. You may go first into the anesthetic room or straight into the operating theatre to be given your anesthetic.
The anesthetist, or an assistant, will ask you several questions to confirm your identity and make sure that you are the right person in the right place. Your identity bands will also be checked. Many people have many types of operations each day in a hospital, and these checks, which may be repeated, are essential to make sure no mistakes are made.
The anesthetist will then fit various monitoring devices to watch over you while you are asleep. A probe may be attached to your finger to measure the amount of oxygen in your blood; some sticky pads may be put on your chest so that your heart beat can be recorded on an electrocardiograph; and a cuff may be put around your arm to measure your blood pressure. All these monitoring devices enable the anesthetist to make sure that the anesthetic remains effective and that you remain well during surgery.
A plastic cannula will be put into a vein in the back of your hand, and any drugs will be introduced into your body through this.
Once the anesthetist is happy with the readings from the monitors, your anesthesia can start.
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