CERTIFICATE COURSE
(ONS,ONCC)CORRECT 100%
Alkylating agents - ANSWER Classification
Break DNA helix strand, thereby interfering with DNA replication
Altretamine (Hexalen) - ANSWER Alkylating Agent
PO
Ovarian CA
Side effects- nausea, vomiting, skin rash, hypersensitivity reaction, diarrhea
Dose limiting - neuro-toxicity, peripheral neuropathy, myelosuppression
Bendamustine (Treanda/Bendeka) - ANSWER Alkylating agent
IV
CLL or Indolent NHL
Side effects- pyrexia, nausea, vomiting, skin reactions, TLS, hepatotoxicity, vein
irritation
Dose limiting - myelosuppression
Irritant and vesicant properties
infusion reactions likely to occur in 2nd or subsequent infusions
Busulfan (IV busulfex: PO Myleran) - ANSWER Alkylating Agent
IV or PO
CML and Stem cell prep
Side effects - profound tachycardia, HTN, chest pain, hyperpigmentation, alopecia,
infertility, confusion, suizures, mucositis, nausea, vomiting, insomnia, hyperglycemia,
blurred vision, secondary malignancy, VOD (now sinusoidal obstruction syndrome)
seizure prophylaxis
central line only for IV
Cisplatin - ANSWER Alkylating agent
IV
Ovarian, Testicular, Bladder
Side Effects - severe acute and delayed CINV, ototoxicity, hyperuricemia,
hypersensitivity, electrolyte abnormalities, peripheral neuropathy
Dose Limiting - nephrotoxicity, myelosupression
Carboplatin - ANSWER Alkylating agent
IV
Ovarian CA