Precautions
This adverse effect is worth pre-medicating patients for, BEFORE a chemo infusion begins
Nausea/vomiting
These 2 diagnostic tests are important to complete BEFORE doxorubicin administration
EKG and echocardiogram
This temperature should prompt a patient to call their provider
100.5 F
This medication increases production of red blood cells
Erythropoietin
An intervention to prevent extravasation of chemo medication during infusions
What is a central line (Medi port)
These 2 symptoms are common complaints for the most serious toxicity of vincristine
Neurotoxicity: paresthesias, absent reflexes, unsteady gait, pain, constipation
Patients should avoid these 3 types of PO fluids when stomatitis occurs
Carbonated, caffeinated, acidic, spicy, hot, alcohol - including mouth wash!
The treatment for this condition is cyanocobalamin
Pernicious anemia
aka Vitamin b12 deficiency
These 3 labs to monitor PRIOR to infusing chemotherapeutic medications
Which patient history would cause the nurse to question the appropriateness of Tamoxifen?
Asthma, DVT, Breast tumor, Osteoporosis
DVT - thromboembolic events are a serious side effect
Patients should avoid these healthy things when immunocompromised
Immunizations, group gatherings, fresh produce
Monitor this lab value for effective outcomes when giving filgrastim
Neutrophil count (ANC)
WBC
A chemo patient is receiving IV fluids. Which assessment is MOST concerning: uses a walker; UOP is 15 mL/hr; wheezing in lower lobes; platelets are 90,000
Wheezing in the lungs could indicate pulmonary toxicity and requires follow up. UOP is low but indicates fluids are needed. Platelets are low but not unexpected.
Patients should avoid these 2 substances while taking Methotrexate
Alcohol (liver dysfunction risk)
NSAIDs (renal dysfunction, GI ulcer risk)
Bleeding is a sign of this cellular deficiency that is a common side effect of chemotherapy
Thrombocytopenia
This time frame describes when it is safe to administer filgrastim to a patient who is receiving chemotherapy infusion
24 hours before OR after chemo
This is important for nurse safety when administering chemotherapy medications
Personal Protective Equipment (gloves, gown, mask with face shield)
Name 2 reasons why a patient may be taking multiple modes of chemotherapeutic medications
Targets different cell life cycle phases
Reduces risk of resistance
Lower doses for lower adverse effects
Correct the patient statement: "Now that my labs are normal and the provider said I am finished with treatment, I can get rid of all these medications down the sink! Hallelujah!"
Do not flush chemoactive meds; patients should check with the pharmacy for a med return program.
Monitor this lab for a patient receiving ferrous sulfate
Hemoglobin