Radiation/Chemo Side Effects

Question 1

Radiation affects which cells

Answer 1

cells that undergo rapid turnover

Question 2

Radiation produced what that causes cell damage - and what type of damage does it cause

Answer 2

oxygen free radicals.

causes cell necrosis and micro vascular damage

Question 3

Chemotherapy affects which cells

Answer 3

basal cells of epithelium -

leads to a decrease of blood cells and bleeding problems

Question 4

Temporary Side Effects - Radiation

Answer 4

mucositis, dysgeusia (altered taste), candidiasis/herpes, dermatitis/erythema, alopecia (hair loss)

Question 5

Permanent Side Effects - Radiation

Answer 5

Xerostomia, cervical caries, osteoradionecrosis, skin atrophy, alopecia at high doses

Question 6

Pre-Treatment Advice

Answer 6

exam, debridement, restorations, extractions, teach OSC, NaF gel to prevent radiation caries

Question 7

Post Treatment Advice

Answer 7

frequent recares, meticulous OSC, NaF gel!, avoid extraction/surgical procedures,

Question 8

Patient Advice

Answer 8

soft tb, low sugar, soft foods, NaF gel, gently flossing, non-alcohol mouthwash, exercise jaw, no alcohol/tobacco

Question 9

Trismus

Answer 9

“lock jaw”

instruct pt on jaw exercises

Question 10

Magic Mouthwash

Answer 10

helps ease mucositis/stomatitis symptoms,

Question 11

Prevention Oncology Mouthrinse

Answer 11

alcohol free - relieves dry mouth and effective against candida