Chapter 11: NIS Flashcards
What is cyproheptadine
Appetite stimulant often used in children
The cleansing/soothing rinse is beneficial for these (4 ) side effects
Altered taste/smell
Xerostomia
Mucosititis
Candidiasis
To counter a sweet taste (3)
Choose bland or sour flavors
Dilute fruit juices
Choose vegetables rather than fruits
To counter a salty taste (3)
Choose foods naturally sweet
Boil to remove sodium
Use low sodium products/recipes
To counter a bitter, acidic, or metallic taste (5)
Eat sweet fruits (watermelon, cantaloupe)
Drink sweet or sour beverages (lemonade, apple, cranberry juice)
Use gum, mouth drops to improve taste in mouth
Avoid beef
Acoid metal utensils
When foods taste bland or “off” (3)
Use more sweet/salty - they taste best
Use strong flavored sauces/spices
Marinade meats
This is typically a beneficial bowel regimen for constipation
Stool softener + stimulant laxative
When is diarrhea considered severe and should require hospitalization
7 or more stools over baseline
What drug class is loperamide & diphenoxylate atropine
Opioid receptor agonist
Enterade and L-glutamine are amino acids that may help to control
Diarrhea
How much fluid should you drink for each loose BM?
1 cup (8 oz.) extra
Should you recommend straws for dysphagia?
No unless recommende by SLP
When may a multivitamin/mineral supplement be beneficial?
Fatigue
*often d/t anemia
What is typically used for acute nausea?
Occurs within 24 hours of chemo
Serotonin antagonist
Ondansetron
What is typically used for delayed nausea (2)?
Occurs 1-7 days after
Dopamine antagonists
Prochlorperazine or promethazine
OR
Neurokinin 1 (NK-1) antagonists
Aprepitant
