Drug Specifics
This chemotherapy drug can elicit a hypersensitivity/anaphylactic reaction to the solution it is mixed in (Cremophor),
What is "Paclitaxel"?
This is attached to IV tubing/syringes to prevent microscopic contamination from antineoplastic medications.
What is "Equashield"?
This typically occurs in patients receiving initial treatment with a MoAb for a hematologic malignancy.
What is "Cytokine Release Syndrome"?
The yellow chemotherapy waste container is used for "_________" chemotherapy waste.
What is a "trace"?
This combination is used to prevent mucositis.
What is "Collin's Solution" or "Salt & Soda"?
Leucovorin is a must with this drug to prevent severe toxicities.
What is "Methotrexate"?
These are evidence based and used to verify treatment orders.
What are "NCCN Guidelines"?
An extravasation of this type of drug is managed with cold compresses and an antidote if available.
What is a "DNA binding vesicant"?
Have this readily available during chemotherapy administration.
What is a "Chemotherapy Spill Kit"?
Tracking life-time dose limits of anthracyclines is used to prevent this toxicity.
What is "Cardiotoxicity"?
An ECHO must be performed to evaluate cardiac function and reviewed by the oncology provider prior to ordering this drug (drug class) for administration.
What is "Daunorubicin" and/or an "Anthracycline"?
Use a free flowing IV (not a pump), continuous visual assessment, and check for blood return before, mid-way, and after administration.
What is "Peripheral IVPB/Short Term Infusion Vesicant Administration"?
This is an expected metabolic process that occurs with high tumor burden - resulting in hyperkalemia, hyperuricemia, hyperphosphatemia, and hypocalcemia.
What is "Tumor Lysis Syndrome"?
Complete after a chemotherapy spill. Include circumstances of the incident, estimated spill volume, and actions taken.
What is a "MIDAS" report?
Using a combination of medications prior to treatment and being proactive with prn medications can help prevent this distressing side effect.
What are "Nausea and Vomiting"?
This drug is administered with 5-FU to potentiate its action and serves as a "rescue" for High Dose Methotrexate to prevent life threatening toxicities.
What is "Leucovorin"?
This device is a MUST for vesicant chemotherapy administered as a continuous infusion.
What is a "Central Line"?
An extravasation of this type of drug is managed with warm compresses and an antidote if available.
What is a "non-DNA binding vesicant"?
This consists of a chemotherapy gown, gloves that are approved for use with chemotherapy, and eye protection if indicated.
What is "PPE"?
This term refers to the chemotherapy-induced reduction of red blood cells, white blood cells, and platelets - potentially requiring transfusion or growth factor support.
What is pancytopenia and/or myelosuppression?
This drug MUST always have Mesna administered with it.
What is "Ifosphamide"?
This Check-List is completed each time a chemotherapy/immunotherapy drug is administered for the treatment of cancer.
What is the "Pre-Chemotherapy Checklist"?
Drugs that have the potential to cause this as an acute adverse effect are ifosphamide and cytarabine.
What is a "Neurotoxicity"?
Patients who spill chemotherapy on their clothing should be instructed to do this.
What is immediate washing of clothing separately from non-contaminated items in hot water?
This emergency requires prompt recognition, work-up, and treatment for management. If not treated promptly, it can have a fatal outcome for the patient.
What is "Febrile Neutropenia"?