Ondansetron (Zofran)
Give this one a try later!
serotonin receptor antagonist
works directly on the chemo trigger zone in the brain
chemo induced n/v, good to give before chemo, post op n/v
relatively low SE profile
headache, constipation, diarrhea
handoff methods
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, - SBAR - situation, background, assessment, recommendation
- handoff - transfer of responsibility and accountability, clarity of
information, verbal communication of information, acknowledgment by the
receiver, the opportunity to review
The nurse must understand biotherapy helps treat CA because they
Give this one a try later!
alter immunologic relationship between the tumor and patient
filgrastim and pegfilgrastim
Give this one a try later!
- colony stimulating factors
-increase neutrophils (sub-q)
- SE: pain, redness at SC site, bone pain
allergic reaction prevention
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- transfuse plasma- free products
- premedicate with antihistamines or corticosteroids
,Chemotherapy
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- using drugs to treat the cancer
- combination or single agent
- from an outside source
nursing priorities with leukemias
Give this one a try later!
education is key
prevention is the goal (nausea, fatigue, malnutrition, diarrhea, mucositis,
pain)
minimize those symptoms that cant be prevented
pancytopenia common
risk for infection
risk for bleeding
impaired oral mucous membranes
imbalanced nutrition
acute pain
fatigue
anxiety
risk for spiritual distress
knowledge deficit
causes of bleeding anemia
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, - trauma, surgery, menstruation
hemoglobin
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11.7 - 17.4
leukemia s/sx
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- fatigue/weakness
- dyspnea
- bleeding, bruising, petechiae
- infection that doesn't resolve
- fever
- enlarged lymph nodes
dopamine antagonists (prochlorperazine/compazine)
Give this one a try later!
- antiemetic
- alters dopamine in the CNS, uses anticholinergic mechanisms of action,
depresses chemo trigger
- SE: can cause EPS and anticholinergic SE
Give this one a try later!
serotonin receptor antagonist
works directly on the chemo trigger zone in the brain
chemo induced n/v, good to give before chemo, post op n/v
relatively low SE profile
headache, constipation, diarrhea
handoff methods
Give this one a try later!
, - SBAR - situation, background, assessment, recommendation
- handoff - transfer of responsibility and accountability, clarity of
information, verbal communication of information, acknowledgment by the
receiver, the opportunity to review
The nurse must understand biotherapy helps treat CA because they
Give this one a try later!
alter immunologic relationship between the tumor and patient
filgrastim and pegfilgrastim
Give this one a try later!
- colony stimulating factors
-increase neutrophils (sub-q)
- SE: pain, redness at SC site, bone pain
allergic reaction prevention
Give this one a try later!
- transfuse plasma- free products
- premedicate with antihistamines or corticosteroids
,Chemotherapy
Give this one a try later!
- using drugs to treat the cancer
- combination or single agent
- from an outside source
nursing priorities with leukemias
Give this one a try later!
education is key
prevention is the goal (nausea, fatigue, malnutrition, diarrhea, mucositis,
pain)
minimize those symptoms that cant be prevented
pancytopenia common
risk for infection
risk for bleeding
impaired oral mucous membranes
imbalanced nutrition
acute pain
fatigue
anxiety
risk for spiritual distress
knowledge deficit
causes of bleeding anemia
Give this one a try later!
, - trauma, surgery, menstruation
hemoglobin
Give this one a try later!
11.7 - 17.4
leukemia s/sx
Give this one a try later!
- fatigue/weakness
- dyspnea
- bleeding, bruising, petechiae
- infection that doesn't resolve
- fever
- enlarged lymph nodes
dopamine antagonists (prochlorperazine/compazine)
Give this one a try later!
- antiemetic
- alters dopamine in the CNS, uses anticholinergic mechanisms of action,
depresses chemo trigger
- SE: can cause EPS and anticholinergic SE
