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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE NEW SET WITH 100% VERIFIED SOLUTIONS !!

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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE NEW SET WITH 100% VERIFIED SOLUTIONS !!

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ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE NEW SET
WITH 100% VERIFIED SOLUTIONS!!!! LATEST UPDATE!!!



Define neoadjuvant therapy - (answer)Treatment is given prior to surgery to shrink the tumor



Define adjuvant therapy - (answer)Additional cancer treatment given after the primary treatment to
lower the risk that the cancer reoccur



3 subcategories of alkylating agents: - (answer)1. Nitrogen mustards

2. Platinum-based agents (do not possess an alkyl group but still termed alkylating agents as they work
similarly)

3. Nitrosoureas



Common alkylating agents: - (answer)Cyclophosphamide (Cytoxan)

Ifosfamide (Ifex)

Bendamustine (Treanda)



Common platinum-based agents: - (answer)Cisplatin (Platinol)

Carboplatin (Paraplatin)



What is unique about nitrosoureas agents? - (answer)Able to cross the blood-brain barrier; can be
effective in treating some brain tumors



Common nitrosoureas agents: - (answer)Carmustine (BiCNU)

Lomustine (CeeNu)

Streptozocin (Zanosar)



Hypersensitivity can occur with late doses of: - (answer)Carboplatin



These agents are typically categorized as highly emetogenic: - (answer)1. Alkylating agents

2. Nitrosoureas

,ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE NEW SET
WITH 100% VERIFIED SOLUTIONS!!!! LATEST UPDATE!!!




Pre-administration labs for alkylating agents and nitrosoureas: - (answer)BUN

Creatinine

CBC w/ diff



What is the medication Mesna used for? - (answer)Bladder protectant with administration of
cyclophosphamide or ifosfamide



Instruct pts receiving ________ to avoid exposure to cold air and consuming cold fluids for 3-4 days
following treatment - (answer)Oxaliplatin



How do antimetabolites function? - (answer)By blocking DNA and RNA growth by interfering with
enzymes needed for normal cell metabolism



Antimetabolites work in the ___ phase. - (answer)S



Common side effects of antimetabolites: - (answer)Myelosuppression

GI toxicities

Photosensitivity

Hand-foot syndrome



Common antimetabolite drugs: - (answer)Azacitidine

Capecitabine

5-FU

Cytarabine

Decitabine

Methotrexate

, ONS CHEMOTHERAPY IMMUNOTHERAPY CERTIFICATE NEW SET
WITH 100% VERIFIED SOLUTIONS!!!! LATEST UPDATE!!!



The institute for Safe Medication Practices recommends what route of administration for vincristine? -
(answer)IV piggyback via gravity



Anthracycline antitumor abx work by: - (answer)Interfering with enzymes necessary for DNA to replicate
in ALL phases of the cell cycle



The two major classifications of antitumor antibiotics are: - (answer)Anthracyclines

Non-anthracyclines



Common anthracycline antitumor abx: - (answer)Daunorubicin

Doxorubicin

Epirubicin

Idarubicin



The antitumor abx ___________ is not an anthracycline, but has anthracycline-type properties. -
(answer)Mitoxantrone



Common non-anthracycline antitumor abx: - (answer)Actinomycin D

Mitomycin C

Bleomycin



Monitoring necessary with doxorubicin: - (answer)Vesicant --> extravasation

Cardiac function

Lifetime dose tracking (cardiotoxicity)



Lifetime dose of doxorubicin should not exceed: - (answer)550 mg/m^2



What cardiac protectant medication can be administered prior to doxorubicin? - (answer)Dexrazoxane

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