chemo man Flashcards
vincristine / vinorelbine
neurotoxicity
paralysis
cisplatin
ototoxicity
neurotoxicity
light sense
electrolyte decrease
nephrotoxic
THUS give mannitol or amofostine and hydration
daunorubicin & doxorubicin
cardiotoxicity, CHF –> give dexrazoxane (Zinecard)
cyclophosphamide
cardiac effects
dose limiting hemorrhagic cystitis –> give MESNA
vincristine
SIADH (decreases urine // body retains water)
SIADH = syndrome of inappropriate antidiuretic hormone secretion
what causes alopecia?
vinorelbine
cyclophosphamide
ifosfamide
topatecan
paclitaxel
irinotecan
hepatotoxicity
cholinergic –> diarrhea:
-early onset: give 1 mg atropine
-late onset: give imodium
MTX
myelosuppression
mucositis
pulmonary fibrosis
*leucoverin rescue
5-FU
Fluorouracil
mucositis
hand-foot mouth syndrome
cytarabine (Ara-C)
CNS
neurotoxicity
visual and personality changes
*give steroids
bleomycin and busulfan
pulmonary fibrosis (CXR)
hyperpigmentation
streptozocin
pancreatic damage –> IDDM
carmustine
renal / hepatic toxicity
pulmonary fibrosis (CXR)
ifosfamide
altered mental status
vincristine, vinblastine, vinorelbine
dose limiting peripheral neuropathy
vinCristine: CNS & constipation
vinBlastine: bone marrow suppression