Fundamentals
& Immunotherapy
of Chemotherapy
Administration
Fundamentals
& Immunotherapy
_ofOncology
Chemotherapy
Administration
Nursing& Study
Immunotherapy
_Guide.pdf
OncologyAdministration
Nursing Study_Guide.pdf
Oncology Nursing Study Guide.pdf
Fundamentals of Chemotherapy &
Immunotherapy Administration |
Oncology Nursing Study Guide
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Fundamentals of Chemotherapy
Fundamentals
& Immunotherapy
of Chemotherapy
Administration
Fundamentals
& Immunotherapy
_ofOncology
Chemotherapy
Administration
Nursing& Study
Immunotherapy
_Guide.pdf
OncologyAdministration
Nursing Study_Guide.pdf
Oncology Nursing Study Guide.pdf
,Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf
Terms in this set (89)
Hematologic cancer (blood cancer) -cancer that begins in bone marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter
bloodstream
Lymphoma -cancer that begins in immune system (WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) - make antibodies (bacteria and viruses, most
common lymphoma
-T lymphocytes (T cells) - boost/slow immune, destroy germs and
abnormal cells
Hodgkin lymphoma Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin's Lymphoma -large, diverse group of cancers in immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma Cancer in plasma cells (WBC that produce antibodies)
Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf
,Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf
Chemotherapy All antineoplastic agents used to treat cancer, given through oral and
parenteral routes or other routes as specified in the standard, not
including hormonal therapies.
Who can order chemotherapy? Written and signed by licensed independent practitioners (MD/DO, PA,
Oncology NP)
Can you use verbal orders for chemotherapy? NO! Only when holding/stopping admin.
Who can mix Chemotherapy? Pharmacist, Pharmacy tech, MD/DO, qualified RN
Who can administer chemotherapy? Registered Nurses with specialized education, prep and training. See
specific state laws and statutes
How often is chemo competency reassessed> Annual continuing ed and competency assessment is recommended
What is the dose verification process? -confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration
date, appearance
-document verification in chart
Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf
, Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf
What PPE is required for IV Chemotherapy? -Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
Neoadjuvant therapy (tumor burden) Chemo BEFORE primary treatment (common in breast and colon)
Adjuvant therapy Chemo AFTER primary treatment (common in solid tumor)
Bone Marrow soft, sponge-like tissue in center of most bones, produce WBC, RBC, and
platelets.
Myelosuppression bone marrow activity is decreased, causing less RBC, WBC and Platelets.
Myeloablation severe myelosuppression
Induction phase initial phase, typically in hospital, intended myelosuppression
Consolidation phase (intensification/postremission after successful induction, kills cancer cells left in body (ex radiation, stem
therapy) cell transplant)
Synergy when one chemo drug helps another work better at the same time
Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf Fundamentals of Chemotherapy Immunotherapy Administration.pdf