NURS 325 EXAM 3 Q&A
CSF for thrombocytopenia - ANSWER-interleukin-11 (platelet growth factor)
oprelvekin
CSF for neuropenia - ANSWER-granulocyte CSF
end in -grastim
care of patient with anaemia - ANSWER-encourage patient to balance physical
activity with periods of rest
onset 3-4 months after initiation of treatment
thrombocytopenia - ANSWER-can result in spontaneous bleeding or major
hemorrhage
avoid invasive procedures
neutropenia - ANSWER-more common with chemo than radiation
at high risk for infection and sepsis
monitor temp, fever is an emergency
GI system chemo complications - ANSWER-stomatitis, mucositis, esophagitis-
gentle oral care, swishing, tepid food
n&v: antiemetic
anorexia: well-balanced meals, little chewing, do not disrupt rest
diarrhea, constipation, hepatoxcicity
integumentary system chemo complications - ANSWER-alopecia
radiation skin rxn such as wet and dry desquamation
genitourinary chemo complications - ANSWER-cystitis, reproductive dysfunction,
nephrotoxcicity
nervous system chemo complications - ANSWER-increased ICP
peripheral neuropathy
chemo brain
respiratory chemo complications - ANSWER-pneumonitis
CV chemo complications - ANSWER-pericarditis and myocarditis
cardiotoxcicity
chemo pain management - ANSWER-administer oral preparations if possible
scheduled, sustained release meds with PRN for breakthrough pain
CSF for thrombocytopenia - ANSWER-interleukin-11 (platelet growth factor)
oprelvekin
CSF for neuropenia - ANSWER-granulocyte CSF
end in -grastim
care of patient with anaemia - ANSWER-encourage patient to balance physical
activity with periods of rest
onset 3-4 months after initiation of treatment
thrombocytopenia - ANSWER-can result in spontaneous bleeding or major
hemorrhage
avoid invasive procedures
neutropenia - ANSWER-more common with chemo than radiation
at high risk for infection and sepsis
monitor temp, fever is an emergency
GI system chemo complications - ANSWER-stomatitis, mucositis, esophagitis-
gentle oral care, swishing, tepid food
n&v: antiemetic
anorexia: well-balanced meals, little chewing, do not disrupt rest
diarrhea, constipation, hepatoxcicity
integumentary system chemo complications - ANSWER-alopecia
radiation skin rxn such as wet and dry desquamation
genitourinary chemo complications - ANSWER-cystitis, reproductive dysfunction,
nephrotoxcicity
nervous system chemo complications - ANSWER-increased ICP
peripheral neuropathy
chemo brain
respiratory chemo complications - ANSWER-pneumonitis
CV chemo complications - ANSWER-pericarditis and myocarditis
cardiotoxcicity
chemo pain management - ANSWER-administer oral preparations if possible
scheduled, sustained release meds with PRN for breakthrough pain
