Study Study guide wink wink Flashcards
Cyclophosphamide
bladder toxicity
drink 2L per day
use emetic
Cisplatin
extravasation!
hard on vessels, IV access
sodium __________
Antimetabolite
decreases folic acid
teratogenic - methotrexate
Tamoxifen
double glove
decrease estrogen
bone density
cytoprotectants
prevent side effects of chemo
Epoetin alpha
increase RBC
Filgrastim
WBC
Leukovorin
folic acid (methotrexate)
Oprelvkin
increase platelet
Tumor Lysis Syndrome
HYPER Kalem Calc Uric Phos
HYPO Calcium Mag
TREAT WITH FLUID
Antibiotics - general principles
Start broad (not for long r/t superinfection risk)
Take ALL doses (r/t residual bacteria)
Superinfection
kills normal flora
Opportunistic
immunocompromised (HIV)
Aminoglycosides
GNATS
Gentamycin - oto/nephrotoxic
Cardiac edema, peripheral neuropathy, herpes
NARROW TI (trough and peak)
CANNOT GIVE PENICILLIN
(one hour pre/post)
Cephalosporin
AE: bleeds, CBC, anti-coagulated patients
Aztreonam
Dilator –> mucolytic –> Az