Exam 2 Cancer stuff Flashcards
What is chemo used for?
to treat cancer
What are common side effects of chemo?
alopeica
anemia
bleeding (bone marrow suppression)
fatigue
mucositis
n/v
neutropenia
thrombocytopenia
What is important teaching for general chemo therapy?
hair will fall out in 7-10 days
it will grow back
What is patient teaching for doxorubicin?
red devil
avoid crowds and infected people
good hand hygiene
urine will turn red-normal
prevent pregnancy
avoid alcohol
caution with live vaccines
avoid mouthwash with alcohol
hair loss 7-10 days after treatment
make provider aware of chest pain or SOB
What are side effects of vincristine?
severe tissue damage from vesicants and alopecia
injury to atonomic nerve (constipating and urinary hesitancy)
bone marrow suppresion
peripheral neuropathy
bradycardia
heart block
MI
hypotension
Who is allowed to administer chemo?
only licensed people
What are side effects of cyclophosphamide/cisplatin
GI discomfort
acute hemmorhagic cystitis
sterility
decrease immune response
liver and kidney toxicity
alopecia
hearing loss
pulmonary fibrosis and pneumonia
bone marrow suppression
n/
What are indications for tamoxifen?
breast cancer
What are side effects of tamoxifen?
- Endometrial cancer
- Hypercalcemia (bone
- pain)
- Nausea and vomiting
- Thromboembolic events
- (DVT, PE, stroke).
- Hot flashes
- Vaginal discharge or
- bleeding
- Muscle and joint pain,
- Headache
- Increased risk for
- osteoporosis
What is important patient teaching for tamoxifen?
yearly gyno exam
pap smear
report chest pain, leg or calf, edema or SOB
What are side effects of interferon?
o flu-like s/s after
o Bone marrow suppression
o Alopecia
o Cardiotoxicity
o Thyroid dysfunction
o Neurotoxicity w/ prolonged Tx
o Depression/anxiety, insomnia, altered mental state
