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Pharmacology
Chemotherapy
| Question | Answer |
|---|---|
| Chemo is administered through | intravenous |
| Before chemo administration obtain the patients | weight height vital signs health history lab results |
| Assess central line/IV access, a need for hydration, and antiemetics before chemo administration | True |
| During chemo administration monitor for extravasation, infection, anemia, thrombocytopenia, and dehydration (most significant severe concern: increase risk infection) | True |
| Anemia (low iron) and thrombocytopenia (low blood platelet disorder/count) lead to excessive bleeding made in the bone marrow | True |
| Most chemotherapy destroy everything by slowing down the growth of rapidly dividing cells | True |
| Common problems while receiving chemotherapy are nausea, vomiting, mucositis, taste changes, diarrhea | True |
| Most chemotherapy does not target cancer cells | True |
| Cancer cells grow rapidly | True |
| Gastrointestinal mucosa begin at the mouth and end at anus | True |
| GI does not do well with | chemo |
| Chemo nursing interventions are small frequent meals, encourage fluids, administer antiemetics before meals, and have nutritional supplements as needed | True |
| Infection preventions are avoiding crowds and sick contacts because this is the | #1 risk of infection |
| Bleeding precautions are monitor bruising, bloody stools, and petechiae (small pinpoint bruises) | True |
| Double flush toilets for 48 hours after receiving chemotherapy | True |
| Only the patient should handle chemotherapy medication | True |
| Double glove chemotherapy medications because medications can get | into the skin |
| Major side effects of chemotherapy are | alopecia (hair loss) fatigue weight loss mucositis bone marrow suppression |
| Mucositis is mucus cells in the mouth/throat that do not reproduce quickly (rapid dividing cells) | True |
| Bone marrow suppression is the deadliest reason chemo is a problem | True |
| Chemotherapy causes immunosuppression | True |
| Monitor for thrombocytopenia and bleeding | True |
| Always wear PPE when handling chemotherapy | True |
| Give antiemetics 30 minutes before chemotherapy | True |