Antineoplastics

Question 1

Cisplatin

This med may cause what ?

This med may cause which electrolyte imbalance ?

What should you increase the fluid intake to?

Answer 1

May cause tinnitus, blurry vision and fever

Hypokalemia, hypocalcemia, hypomagnesemia, hypophospatemia

Fluid intake needs to be increased to 2-3 liters per day

Question 2

Cyclophosphamide

What do you do to the mouth ? And why ?

This med may cause?

Fluid intake meds to be ?

Answer 2

Rise mouth to prevent stomatitis

May cause sterility

Fluid needs to be increase to 2-3 liters per day

Question 3

Methotrexate

May cause____& ______ ?

What is the antidote for toxicity?

Fluid intake needs to be increased to ?

Answer 3

May cause thrombocytopenia

May cause toxicity.

Antidote is leucovorin

Fluid needs to be increase to 2-3 liters per day

Question 4

Tamoxifen

Affects who and causes what?

Answer 4

1. ) vaginal bleeding & discharge
2. ) irregular periods,
3. ) Increases triglycerides and cholesterol
4. )Hot flashes

Question 5

in general , antineoplastics (7)s

Answer 5

1. ) a clients weight should be taken the day of medication administration
2. ) Clients should avoid vaccinations during therapy
3. )medications can cause an increase in Uric acid ( hyperuricemia)
4. )some clients will be given blood thinners with cancer meds to increase effectiveness
5. ) Use bleeding precautions

6.) special handling may be required ( cytotoxic)
•May cause future birth defects, no pregnant or breast-feeding nurses to care for a client
•Gloves, Gowns, face protection if administering a liquid.
•Gloves ( 1-pair) if administration a solid

7.) Extravasation may occur at IV site
1st priority: stop infusion
2nd priority : notify primary health care provider