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*chemo-Epoetin alpha - Correct Answers Immunologic-hematopoietic Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
erthropoietin, EPO. Used to increase production of RBCs in the treatment of fatigue, anemia.
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fever, iron supplementation may be necessary
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Il` *chemo-Filgastrim - Correct Answers Immunologic-hematopoietic Il` Il` Il` Il` Il` Il` Il` Il` Il`
granulocytic colony-stimulating factor, G-CSF, stimulates production of WBC's.
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Fever, bone pain, flulike symptoms
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Il` *chemo-Monoclonal antibodies - Correct Answers Immunologic-biologic response modifiers Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Rituximab, trastuzumab Il`
Myelosuppression, anorexia, N/V, fever, chills, rash Il` Il` Il` Il` Il`
Il` *chemo-Sargramostin - Correct Answers Immunologic-hematopoietic Il` Il` Il` Il` Il` Il` Il` Il` Il`
granulocytic macrophage-stimulating factor, GM-CSF Il` Il` Il`
Fever, bone pain, flulike symptoms
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Il` 5-Fluoracil (5-FU) - Correct Answers Low emetogenic
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Moderate myelosuppresion Il`
Severe--mucositis/esophagitis
Diarrhea, renal effects Il` Il`
Il` adjuvant - Correct Answers use of additional cancer treatment after the primary therapy
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,Il` Ageusia - Correct Answers Loss or absence of the sense of taste
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Il` Allogenic marrow transplantation - Correct Answers Transfer of marrow from donor to another
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Il` person who is not genetically identical
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Il` antiemetics : butyrophenone (Dopamine agonists) Il` Il` Il` Il`
droperidol/inapsine
haloperidol/haldol - Correct Answers side effects: Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sedation
EPS
droperidol is more sedating Il` Il` Il`
Il` antiemetics-5-HT3 serotonin antagonists Il` Il`
dolasetron/anzemet
granisetron/kytril
ondansetron/zofran - Correct Answers most effective in the prevention and treatment of Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
chemotherapy-induced nausea and vomiting (CINV), esp caused by highly emetogenic drugs such
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as cisplatin; when used for this purpose, they may be given alone or, more frequently, with
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glucocorticoid, usually dexamethasone.
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They are usually given intravenously, shortly before administration of the chemotherapeutic
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agent. The concomitant administration of a NK1 receptor antagonist, such as aprepitant,
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increases the efficacy of 5-HT3 antagonists in preventing both acute and delayed CINV.
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The 5-HT3 antagonists are also indicated in the prevention and treatment of radiation-induced
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nausea and vomiting (RINV) and post-op nausea and vomiting (PONV).
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,side effects: headache, diarrhea, constipation, possible EKG changes, somnolence
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Il` antiemetics, guideline for use: - Correct Answers An antiemetic regimen administered before
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Il` chemotherapy is recommended to prevent acute nausea and vomiting. This three-drug
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Il` combination is recommended by ASCO (American Society of Clinical Oncology) for highly
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Il` emetogenic chemotherapy medications: Il` Il`
1. Serotonin 5-HT3 receptor antagonist (Ondansetron, dolasetron, granisetron, palonosetron)
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2. Dexamethasone (corticosteroid)
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3. Aprepitant (NK1 receptor antagonist)
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Il` antiemetics: anticholernigics (anticholinergic)
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scopolamine transderm patch - Correct Answers side effects:
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urinary retention Il`
dry eyes Il`
constipation
effective for nausea related to motion, useful with bowel obstructions
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Il` antiemetics: benzamides (Dopamine agonists or 5HT3)
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metoclopramide/reglan - Correct Answers dopamine agonist or 5HT3 at high doses Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
side effects: Il`
sedation
fatigue
diarrhea
nausea
, also used in early satiety and anorexia
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Il` antiemetics: benzodiazepines (benzodiazepine) Il` Il`
lorazapam/ativan
diazepam/valium - Correct Answers side effects: Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sedation
confusion
amnesia
slurred speech Il`
effective for anticipatory nausea/anxiety. Lorazepam may be placed under the tongue.
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Il` antiemetics: cannabinoids (unknown mechanism) Il` Il` Il`
dronabinol/marinol - Correct Answers side effects: Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
mood changes (vivid dreams)
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increased appetite Il`
hypotension
tachycardia
well tolerated in younger patients, may be crushed. Less tolerated in older patients.
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Il` antiemetics: corticosteroids (unknown mechanism of action)
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dexamethasone/decadron - Correct Answers side effects: Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
increased appetite Il`
anxiety
mood changes Il`