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PRINCIPLES OF CHEMOTHERAPY AND CHEMOTHERAPY AGENTS QUESTIONS AND VERIFIED ANSWERS

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PRINCIPLES OF CHEMOTHERAPY AND CHEMOTHERAPY AGENTS QUESTIONS AND VERIFIED ANSWERS

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What are the nursing implications for Fludarabine?


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Monitor for visual changes and neurological changes
Infuse over 30 minutes for intermittent infusions, or over 24 hours for
continuous infusions




What are tubulin inhibitors derivatives of?


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Plant

,What do anthracyclines inhibit?


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topoisomerase II and prevent rejoining of the cleaved DNA strands.




What are the major side effects of corticosteroid?


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Hyperphagia, hyperglycemia, stomach/GI upset, gastritis
Immunosuppression
Personality changes, mood swings
Cushing syndrome, pituitary-adrenal axis suppression, hypertension
Poor wound healing, muscle weakness, osteonecrosis




What is the classification of arsenic trioxide?


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Miscellaneous




What is Hydroxyurea classified as?


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, Miscellaneous, cell-cycle-specific (S)




What are the major side effects of Mitoxantrone?


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Stomatitis/mucositis
Myelosuppression, immunosuppression
Green-blue discoloration of sclera, urine, and skin**
Elevated liver function tests
Cardiotoxicity, CHF, cardiac arrhythmias**
Phlebitis, severe tissue damage with extravasation**




What are the major side effects of Dacarbazine?


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Nausea, vomiting, anorexia
Flu-like symptoms (fever, malaise, body aches)
Liver dysfunction
Hypersensitivity reaction
Photosensitivity




how do alkylating and alkylating-like agents work?


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, They cause DNA strand breakage or uncoiling and interfere with DNA
replication, transcriptio; DNA strands unable to separate and uncoil and
divide




What are two exampels of Epipodophyllotoxins?


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-Etoposide
-Teniposide




What are the nursing implications for Fluorouracil (5-FU)?


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Administer oral doses on an empty stomach (1 hour pre-/2 hours post
meals); avoid acidic fruit juice
Monitor stool output
Monitor cardiac symptoms
Consider using cryotherapy to help reduce stomatitis/mucositis




What are the major side effects of Mitotane?


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