Side effects and Management Flashcards

1
Q

what can mucositis be caused by

A

chemo
RT
targeted therapy
immunotherapy

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2
Q

what is a common infection in the mouth

A

thrush

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3
Q

what can thrush cause

A

unpleasant eating and changes how things taste

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4
Q

how to keep mouth healthy with drinks

A

drink plenty of fluids, especially water
ice cubes can help soothe the mouth
avoid fizzy drinks
try milk or milk based drinks
cold drinks can be soothing
extreme temp drinks can irritate the mouth
drink through a straw

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5
Q

how to keep mouth healthy with food

A

avoid salty or spicy food
avoid rough textures
keep food moist by sauces and gravies
cold foods can soothe mouth
pain medication before meals

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6
Q

salt water mouthwashes

A

reduce soreness

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7
Q

toothbrush advice

A

use a soft toothbrush, avoid toothpicks, flossing can cause gums to bleed if you have a low platelets

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8
Q

tips for coping with difficulties swallowing or chewing

A

take pain killers 30 minutes before eating
choose easy foods which you can swallow
soften foods with sauces/gravy
finely chop meat and veg cook for a long time
cut crusts off
blend food
food supplement drinks

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9
Q

what to do when too tired to cook

A

use connivence foods, frozen foods, tinned foods
plan ahead, prepare food when less tired
ask family and friends to help
have a nourishing drink, smoothies
supplement drinks
eat smaller meals more often

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10
Q

what to do if you have constipation

A

eat plenty of fibre
drink plenty of fluids
try a natural remedy for constipation
gentle exercise
laxatives

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11
Q

what to do if you have diarrhoea

A

drink at least 2 litres of water
avoid alcohol and coffee
eat small meals regularly
eat meals slowly
eat less fibre
avoid greasy food

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12
Q

what to do if you are feeling sick

A

anti-emetic drugs
eat dry foods
avoid fried and greasy foods
sit by a window whilst eating
food and drinks which contain ginger
sipping fizzy drinks can help
drink between meals
empty bowels regularly

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13
Q

what to do if you have lost your appetite

A

eat small meals regularly
snacks
eat meals slowly

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14
Q

steroids with appetite

A

try and eat healthy foods

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15
Q

when does SE normally begin

A

2 weeks in

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16
Q

when do patients start noticing improvements

A

6-8 weeks after RT

17
Q

how can you manage side effects

A

avoid smoking
avoid alcohol
eat healthily
drink plenty of fluids
doing exercises to prevent jaw and shoulder stiffness helps with swallow
try to keep active

18
Q

how to look after their skin

A

wash gently with soap and lukewarm water
pat gently
avoid wet shaving
wear loose clothing
cover up when in direct sunlight

19
Q

when should you see your dentist

A

after treatment you should see your dentist every 3-6 months

20
Q

how to deal with a dry mouth

A

sip water regularly
eat soft, moist foods
artificial saliva
humidifier

21
Q

what can help with thick and sticky saliva

A

a nebuliser which can loosen the saliva
rinsing mouth regularly
rinse with a weak salt solution

22
Q

late effects of RT

A

dry mouth
higher risk of tooth decay
difficulty swallowing
stiffness in jaw, neck or shoulders
swelling in the head and neck

23
Q

how to relieve dryness

A

ice lollies
avoid food and drinks that can irritate a dry mouth
humidifier
advice on toothpastes
take sips of water before taking a bite of food
add moisture and fat to make dry foods easier to eat
rub olive oil onto gums
artificial saliva

24
Q

what are the SE for brain tumours

A

fatigue
hair loss
headaches
skin irritation
feeling sick
seizures
fertility

25
what are the late effects of brain tumours
changes to your memory, thinking or reasoning changes in hormone levels hearing problems eye problems radiation necrosis a higher risk of having a stroke secondary cancer
26
how to manage seizures
medication can be given to control seizures - anticonvulsants
27
side effects of steroids
indigestion increased appetite and weight gain difficulty sleeping feeling restless or agitated raised blood sugar levels high doses can cause more SE: mood changes swollen feet and legs raised blood pressure