ANTINEOPLASTIC GOALS IS TO DESTROY CANCER CELLS, WHILE CONSERVING NORMAL CELLS, BY INTERFERING WITH CANCER CELLS REPRODUCTION. THESE AGENTS ARE USED TO: CURE CANCER RELIEVE SYMPTOMS OF CANCER PREVENT COMPLICATION REDUCE TUMOR SIZE BEFORE SURGERY TWO TYPES OF CHEMOTHERAPEUTIC AGENTS 1. CELL CYCLE SPECIFIC- RESPOND DURING A SPECIFIC CYCLE OF THE CELL, USUALLY WORKS BEST IN MULTIPLE, REPEATED DOSES 2. CELL CYCLE NONSPECIFIC- RESPOND DURING ANY PHASE, THESE AGENTS ARE DOSE DEPENDENT BONE MARROW DEPRESSION- MONITOR CBC COUNT FOR A DROP IN LEVEL 1. LEUKOPENIA- A DECREASE IN WBC. ASSESS FOR INFECTION. A BODY TEMP OF 99F IN THE LEUKOPENIC IS A CONCERN 2. THROMMBOCYOPENIA- DECREASE IN THE NUMBER OF PLATELETS. ASSESS FOR BLEEDING, SUCH AS PETECHIAE 3. ANEMIA- DECREASE IN HEMOGLOBIN. MONITOR HEMOGLOBIN LEVELS AND HEMOCRIT. ASSESS FOR PALLOR OF THE SKIN, FATIGUE, SOVB, SUGGEST IRON PREPARATIONS NAUSEA, VOMITING, AND DIARRHEA GIVE ANTIEMETICS BEFORE SYMPTOMS DEVELOP AND BEFORE THERAPY BEGIN, OFFER ANTIDIARRHEALS PRN, MONITOR WEIGHT, AVOID EXPOSURE TO STRONG ODORS, MONITOR ELECTROLYTES, TEACH THE CLIENT TO AVOID ENEMAS, MONITOR FOR SIGNS OF DEHYFRATION, INSTRUCT THE PATIENT TO NOTIFY THE PHYSICIAN IF DIARRHEA AND VOMITING PERSIST FOR LONGER THAN 2 TO 4 DAYS STOMATITIS- INFLAMMATION OF THE MOUTH, ASSESS ORAL CAVITY OFFER GOOD MOUTH CARE AND TOPICAL ANTIBIOTICS ALOPECIA- LOSS OF HAIR MAY BE DEPRESSING, SUGGEST THE USE OF WIGS, SCARFS, HATS, REFER THE CLIENT TO RESOURCES FOR EFFECTIVE MANAGEMENT OF THIS PROBLEM, INSTRUCT THE CLIENT TO WASH REMAINING EVERY 2 TO 4 DAYS WITH A MILD SHAMPOO, COOLING THE HEAD WITH A COLD COMPRESS BEFORE IV CHEMOTHERAPY CAUSES VASOCONSTRICTION AND LESS OF THE AGENT REACHES THE SCALP THESE AGENTS SHOULD NOT BE GIVEN TO PREGNANT CLIENTS OR ADMINISTERED BY PREGNANT HEALTH CARE WORKERS
Posted on: Mon, 01 Jul 2013 13:28:12 +0000
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