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effects of chemo.
medsurg I oncology: managing adverse effects of chemo.
Question | Answer |
---|---|
Results of bone marrow depression | leukopenia, thrombocytopenia, anemia |
Leukopenia pt. at risk for | infection, watch for fever & chills |
Thrombocytopenia pt. at risk for | hemorrhage, watch for nose bleed,tarry stool,bleeding anywhere |
Pt. w/ thrombocytopenia precautions avoid what med. | aspirin |
Anemia pt at risk for | infection |
GI effect of chemo. | diarrhea, constipation,cramping,stomatitis |
Stomatitis | inflammation fo oral mucous membrane,ulcerations,appear5-7 days p treatment, |
Care for pt. w/ stomatitis | soft bristle toothbrush,alcohol-free foam stick/swab/mouthwash, rinse w/ saline qh,antifungal/antibiotics prescribed,use H2O agents |
N/V w/ chemo | one of the most uncomfortable and distressing effects |
Take what for n/v | antiemetics |
When should chemo. be admin. to minimize n/v of cancer pt. | in the evening, pt. will be asleep when emetic effects are greater |
Alternative to meds for n/v | relaxation techniques b4 chemo |
When does alopecia occur in the cancer pt. undergoing chemo. | w/in 2-4 wks. of treatment |
Pt. experiencing hair loss avoid what | chemical treatment 2 hair,heat, sun |
What should the nurse suggest for pt. with hair loss | wigs and scarves |
What does hair loss depend on w/ chemo.? | amt. and duration of treatment, hair may not fall may get thin |
What causes skin breakdown while undergoing chemo.? | extravasation of some chemo. drugs. |
Organ toxicity involves which organ | liver, heart, lungs, kidneys, nervous system |
How often should lab reports be monitored during chemotherapy? | before & throughout therapy |
What is the side effect on chemotherapy on the reproductive organs? | may cause sterility, irreversible infertility,or early menopause |