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Chemotherapy
Chemotherapy Drugs and Common Reactions
| Question | Answer |
|---|---|
| These antineoplastic drugs interfere with DNA and prevent nucleic acid from completing cell division | Alkylating agents (Cytoxan) |
| This is the most widely used class of antineoplastics | Alkylating agents (Cytoxan) |
| This is an adverse rxn specific to Alkylating agents such as Cytoxan | Hemmorhagic cystitis |
| This is given to inactivate urotoxic metabolites in the bladder | MESNA |
| These antineoplastic drugs cause cell death or slowed growth | Antimetabolites (methotrexate) |
| This antimetabolite blocks the synthesis of folic acid | Methotrexate |
| These two drugs are used for diagnoses other than Cancer | Cytoxan and Methotrexate |
| Pts taking this antineoplastic drug should increase fluid intake and hydrate well to prevent renal side effects such as HC | Cytoxan |
| Pneumotitis and fibrosis are common adverse rxns to this antineoplastic drug | Methotrexate |
| This side effect of methotrexate includes renal cellular death | Acute Tubular Necrosis |
| ATN in use with methotrexat should be treated with | IVF containing sodium bicarb to alkalinize urine |
| BM toxicity, oral and GI ulceration, and bowel perforation are common adverse rxns with this dose limiting drug | methotrexate |
| Substances from bacteria that can kill cancer cells | Antitumor Antibiotics |
| This IV drug often appears red | doxorubicin (Adriamycin) |
| This form of administration involves small lipid sacs that open and release when they reach the cancer cells | Liposomal administration |
| Liposomal administration is specifically used for which antineoplastic drug? | doxorubicin (Adriamycin) |
| Cardiotoxicity and Angioedema are side effects specific to this antineoplastic drug | doxorubicin (Adriamycin) |
| This category of antineoplastic drugs affect cell division | Natural products |
| This drug is specific to the M-phase and administered IV | Vincristine (Oncovin) |
| Nervous system toxicity is specific to this dose limiting drug | Vincristine (Oncovin) |
| Numbness, tingliign, muscular weakness, and loss of reflexes are associatedd with side effects of this system | Nervous system (Neuropathy) |
| Severe constipation is specific to this antineoplastic drug | Vincristine (Oncovin) |
| Allergic rxns are HUGE with this antineoplastic drug | Vincristine (Oncovin) |
| An added benefit on this antineoplastic category is that they are BM sparing | Natural products |
| These slow the growth of hormon-dependent TUMORS by blocking substances essential for growth | Hormone/Hormone antagonists |
| Gynecomastia and Hirsutism are adverse rxns of which type of hormone therapy | Sex hormone therapy |
| These block estrogen receptors on breast cancer cells, but have estrogen effects on non-breast cells as well. | SERMs Tamoxifen (Nolvadex) |
| Added benefits of this drug include improved bone density and improved lipid profiles | Tamoxifen (Nolvadex) SERM |
| Drug of choice for metastatic breast cancer | Tamoxifen (Nolvadex) SERM |
| Given prophylactically to decrease breast cancer risk | Tamoxifen (Nolvadex) SERM |
| This should be given with food or milk to decrease GI stress | Tamoxifen (Nolvadex) SERM |
| Potentially fatal effects of this drug include DVTs and endometrial cancer | Tamoxifen (Nolvadex) SERM |
| These stimulate the body's immune system to fight against tumor cells | BRMs |
| These attack only one specific type of tumor cell. These cells MUST posses theh specific protein receptor | Monoclonal antibodies |
| This monoclonal antibody is used against breast cancer | Herceptin |
| These are used in transplant pts to reduce immune response | Monoclonal antibodies |
| These are used in autoimmune diseases (RA, lupus) and asthma to suppress the immune system | Monoclonal antibodies |
| Used in lymphoma, HER2 receptor positive cancers (Breast), HER1, and Leukemia | Monoclona antibodies |
| Increases killing potential of chemo | Monoclonal antibodies |
| Inhibit angiogenesis | Monoclonal antibodies |
| Because cells can repair in this stage, drugs are not as effective | G0 phase |
| An example of a high growth fraction cancer | lymphoma |
| Example of a low growth fraction cancer | Solid tumors as in breasts or lung cancer |
| Course of chemotherapy includes (think frequency in wks) | Every 3 weeks with 6-12 treatments at a time |
| This antineoplastic drug is HIGHLY does specific | Doxorubicin (Adriamycin) |
| What color are chemo bags? | Yellow |
| PPE employed in preparation and administration of Chemo | Special gloves, gown, and mask |
| How long should excretia precautions be employed | 48 hours |
| Excretia precautions include... | Wear gloves for all body fluids, double flush toilet, No body fluids in trash!!! |
| Onset of emetogenic effects with chemo drugs | 1-2 days (Premedicate) |
| What is the low point of BM suppression referred to? | Nadir |
| Anemia, thrombocytopenia, and neutropenia are all effects of | Bone marrow suppresion |
| This effect of chemo can result in high risk for infections | Neutropenia |
| Absolute Neutrophil Count <500 | Neutropenia |
| This drug stimulates neutrophil production by BM | Filgrastim (Neupogen) |
| This drug should not be given within 24 hrs of chemo | Filgrastim (Neupogen) |
| Bone pain is a common side effect of this drug and contraindicated in peopel with bone cancer. | Filgrastim (Neupogen) |
| Chlorohexadine gluconate (Peridex) are used to treat which side effect of chemo | Mucositis |
| Half/half saline peroxide mixture | Mucositis |
| This effect of chemo is alleviated by the swish and spit regimen | Mucositis |
| Viscous Lidocain is used with which side effect of chemo | Musocitis |
| This drug is used to "rescue normal cells" | Folinic Acid |