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bipolar - neoplastic

Nursing pharm, drug category by key points

Lithium, Carbamazepine/ Tegretol, Divalproex/ Depakote Bipolar: no carbonated drinks, take w food, obtain baseline BUN, LFTs, CBC.
Lithium use for manic episodes. Toxicity: Vomiting, diarrhea, drowsiness, weakness, ataxia. Therapeutic level 1 1.5. labs 2-3 times a week. Ensure adequate salt intake. Encourage gluids 3000ml/D
Busulfan/ Myleran, chlorambucil, cisplatin, cyclophosphamide/ Cytoxan Antineoplastic alkylating agents: bone marrow suppression, hepatotoxicity, stomatitis, alopecia, renal/ototoxic. Good mouth care, 3000 ml/D fluids, netropenic precautions, monitor RBC
cytarabine, fluorouracil 5-FU, methotrexate antineoplastic agents, antimetabolites: stop DNA replication. NVD, stomatitis, bone marrow suppression, monitor liver, good mouth care, therapeutic communication, alopecia, skin pale, neutropenic precautions, air hunger, fatigue
Bleomycin/ blenoxane, Dactinomycin / actinomycin/ actinomycin D, doxorubicin/ adriamycin antineoplastic, antitumor ABX, bone marrow depression, bleeding, stomatitis, encourage rest, pt pale and tiered
Tamoxifen/ nolvadex, Testosterone, Leuprolide/ lupron, testalactone/teslac Antineoplastic hormonal agents: increased appetite, bood swings, bone pain, think of how hormone affects opposite sex, assess CVC, serum calcium
Vinblastine/velban, vincristine/oncovin Antineoplastic vinca alkaloids: periwinkle plant, systemic effects, bome marrow suppression, alopecia, depressed DTR, can injur veins. Assess DTR.
Created by: vickyv