brain RT side affects Flashcards
What skin reactions can occur during treatment?
Erythema, Dry & Moist Desquamation
Onset: 2-3 weeks into treatment. Management includes gentle skincare, avoiding sun exposure, and using mild soaps/lotions.
When does fatigue typically onset during treatment?
During treatment, increasing over time
Management includes encouraging rest, light exercise, and balanced nutrition.
What is the onset time for temporary hair loss?
~2 weeks into treatment
Management includes using mild shampoo, patting dry, and considering getting a wig early.
What can cause permanent hair loss during treatment?
If dose > 40 Gy
Onset occurs 2-3 weeks into treatment. Management involves discussing expectations and recommending head coverings/wigs.
What is cerebral edema and when does it onset?
Brain swelling, weeks into treatment
Management includes using steroids (e.g., dexamethasone) and monitoring for symptoms.
What are the management strategies for headaches during treatment?
Hydration, mild analgesics, steroids if severe
Onset occurs early to mid-treatment.
How does nausea & vomiting onset and what is the management?
Can occur early if brainstem affected
Management includes antiemetics (e.g., ondansetron), hydration, and small meals.
What cognitive changes can occur during treatment?
Forgetfulness, Decreased Concentration
Onset is mid to late treatment. Management includes reassurance, mental exercises, and rest.
What happens to pre-existing neurological symptoms during treatment?
Worsening of symptoms
Onset occurs during treatment. Management involves assessing severity and corticosteroids if swelling-related.
What is the management for seizures in patients with a prior history?
Adherence to antiepileptic meds, close monitoring
Onset occurs during treatment.
What vision changes can occur mid to late treatment?
Blurred Vision, Diplopia
Management includes ophthalmology referral and monitoring changes.
What hearing changes may occur during treatment?
Tinnitus, Hearing Loss
Onset occurs weeks into treatment. Management includes hearing evaluation and audiology referral if needed.
What taste changes can patients experience during treatment?
Dysgeusia
Onset is early to mid-treatment. Management includes hydration and trial of flavor-enhancing strategies.
What is the management for difficulty swallowing if affected structures are involved?
Dietary modifications, possible speech therapy referral
Onset occurs if brainstem or nearby structures are affected.
What are the symptoms of drowsiness & lethargy as a reaction?
Early Delayed Reaction
Onset occurs up to 3 months post-treatment. Management includes reassurance, monitoring, and it is usually self-limiting.
What is the management for scalp sensitivity during treatment?
Use mild shampoo, avoid scratching or rubbing scalp
Onset occurs early to mid-treatment.
What causes dry mouth and how can it be managed?
If salivary glands are in field
Management includes frequent sips of water, sugar-free gum, and oral rinses.
What can lead to weight loss during treatment?
Nausea or appetite changes
Onset is progressive throughout treatment. Management includes a high-calorie, high-protein diet and nutritional support.
What is radiation-induced mucositis?
Occurs if radiation affects oral structures
Management includes oral hygiene, pain management, and avoiding spicy/acidic foods.
What is the management for ear irritation during treatment?
Keep ears clean, avoid excessive water exposure, monitor
Onset occurs during treatment if auditory structures are in the field.
