chemotherapy drug

8/4/2019 Chemotherapy Drug

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Chemotherapy Drug Possible Side Effects(Not all side effects are listed. Some of

those listed may be short-term sideeffects; others are long-term side

effects.)

Carboplatin (Paraplatin)

usually givenintravenously (IV)

used for cancers ofthe ovary, head and neck,and lung

decrease in blood cell counts hair loss (reversible)

confusion

nausea, vomiting, and/ordiarrhea (usually a short-term sideeffect occurring the first 24 to 72 hoursfollowing treatment)

cisplatin(Platinol, Platinol-AQ)


used for cancers ofthe bladder, ovary, andtesticles

decrease in blood cell counts

allergic reaction, including arash and/or labored breathing

nausea and vomiting thatusually occurs for 24 hours or longer

ringing in ears and hearing loss

fluctuations in bloodelectrolytes

kidney damage

cyclophosphamide(Cytoxan, Neosar)

can be givenintravenously (IV) or orally

used for lymphoma,breast cancer, and ovariancarcinoma


nausea, vomiting, abdominalpain

decreased appetite

hair loss (reversible)

bladder damage

fertility impairment

lung or heart damage (with highdoses)

secondary malignancies (rare)

docetaxel(Taxotere)

given intravenously(IV)

used for breastcancer, lung, and prostate


nausea, vomiting, abdominalpain

diarrhea

decreased appetite

hair thinning

rash

numbness and tingling in handsand feet

doxorubicin(Adriamycin)


used for breastcancer, lymphoma, and


mouth ulcers


nausea and vomiting

heart damage


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multiple myeloma

Erlotinib (Tarceva)

given orally

used for non smallcell lung cancer

rash and other skin changes

diarrhea

etoposide(VePesid)

can be givenintravenously (IV) or orally

used for cancers ofthe lung, testicles,

leukemia, and lymphoma



nausea and vomiting

allergic reaction

mouth ulcers

low blood pressure (duringadministration)

decreased appetite

diarrhea and abdominal pain

bronchospasm

flu-like symptoms

fluorouracil(5-FU)


used for cancers of

the colon, breast, stomach,and head and neck


diarrhea

mouth ulcers

photosensitivity

dry skin

gemcitabine(Gemzar)


used for cancers ofthe pancreas, breast, ovary,and lung


nausea and vomiting

fever and flu-like symptoms

rash

imatinib mesylate(Gleevec)

given orally

used for chronicmyelogenous leukemia(CML) and gastrointestinalstromal tumor (GIST)

nausea and vomiting

fluid retention (swelling aroundankles, eyes)

muscle cramps

diarrhea

gastrointestinal bleeding

rash

irinotecan(Camptosar)

given intravenously


diarrhea



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(IV)

used for cancers ofthe colon and rectum

methotrexate(Folex, Mexate, Amethopterin)

may be givenintravenously (IV),intrathecally (into the spinalcolumn), or orally

used for cancers ofthe breast, lung, blood,bone, and lymph system


nausea and vomiting

mouth ulcers

skin rashes and photosensitivity

dizziness, headache, ordrowsiness

kidney damage (with a high-dose therapy)

liver damage


seizurespaclitaxel(Taxol, Abraxane)


used with cancers ofthe breast, ovary, and lung


allergic reaction

nausea and vomiting

loss of appetite

change in taste

thin or brittle hair

joint pain (short term)

numbness or tingling in thefingers or toes

sorafinib(Nexavar)

given orally

used for advancedkidney cancer

high blood pressure (during firstfew weeks of treatment)

rash, other skin changes

diarrhea

fatigue

hair loss

nausea and vomiting

sunitinib(Sutent)

given orally

used forgastrointestinal stromaltumor (GIST) and kidneycancer

diarrhea

nausea and vomiting

mouth ulcers

upset stomach skin changes, including skindiscoloration and rash

fatigue

high blood pressure

bleeding

swelling

taste disturbance

topotecan(Hycamtin)

given intravenously


diarrhea



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(IV)

used for cancers ofthe ovary and lung

nausea and vomiting

vincristine(Oncovin, Vincasar PFS)


used for leukemiaand lymphoma

numbness or tingling in thefingers or toes

weakness

loss of reflexes

jaw pain


constipation or abdominalcramping

1.nurse will assure that a full history and

physical assessment is completed

2. looks at the patient's laboratory results from

blood that has been drawn for anything

abnormal to be reported to the oncologist

3.Confers with the oncologist to be sure that

the patient has a full understanding of the

risks and benefits to treatment suggestsCancer Medicine. An oncology nurse is

focused on the patient's well being both

physical and emotional.


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4. explain what chemotherapy treatment is and

how it works in general terms

5. Gives the patient more specific information

about the drugs prescribed, their actions and

side-effects, and how to manage any side-

effects

6. Discuses the importance of avoiding people

with cough, and obvious infections

7. It is important for patients to maintain a good

diet during treatment so nutrition is also

discussed.

8.closely monitored during the administration of

chemotherapy and an oncology nurse is aware

of the adverse reactions to look for during this

time and the proper action

9. Provide safe, competent, and ethical care

to patients in all practice settings.


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10. Teach the patient and family how to

manage these side effects when they are at

home. The patient and family must also learn

what symptoms are considered an emergency

chemotherapy drug

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