Keep long handled forceps and a special lead

This preview shows page 78 - 86 out of 116 pages.

Keep long-handled forceps and a special lead container (red biohazard) in the patient’s room for use by the radiologist, should the implant become dislodged INTERNAL RADIATION APPLICATOR
Image of page 78
Once the applicator is removed, urinary catheter is removed Precaution are no longer needed after removal of the applicator Sexual intercourse is delayed for 7 – 10 days Instruct patient to notify the physician of adverse effects: nausea, vomiting, diarrhea, frequent or painful urination, or temperature more than 100 degrees Fahrenheit Nurse should spend no more than 10 minutes and should stand 6 feet away from the patient when not giving direct care INTERNAL RADIATION APPLICATOR
Image of page 79
Chemotherapy Chemotherapy drugs are used to reduce or slow the growth of metastatic caner. Most chemotherapeutic agents work by interfering with a cells’ ability to multiply or reproduce. Drugs that interfere with a cell’s replication (duplicating or reproducing) process damage the cell and cause cellular death. Both malignant and normal cells are affected by chemotherapy. Cells that multiply rapidly are affected the most, such as cells of the hematopoietic system , the hair follicles , and the GI system . Cancer Therapies
Image of page 80
Chemotherapy Side effects Leukopenia Anemia Thrombocytopenia Alopecia Stomatitis Nausea, vomiting, and diarrhea Tumor lysis syndrome Cancer Therapies
Image of page 81
Side Effects of Chemotherapy Hematopoietic System Leukopenia – less than 5,000 (5000 to 10,000/mm3) Neutropenia – (normal - 60% - 70% or 3000 to 7000/mm3) – may lead to pneumonia, septicemia Cancer Therapies
Image of page 82
Leukopenia/ Neutropenia Monitor for signs of infection. Vital signs every 4 hours Report temperature of 100.4 degrees Fahrenheit or 38 degrees Celsius Good hand hygiene Avoid invasive procedure Neutropenic precaution/protective precaution/reverse isolation – private room, limit or screen visitors with colds or communicable disease Administer hematopoietic growth factors (granulocyte colony- stimulating factors such as filgrastim {Neupogen} or pegfilgrastim {Neulasta} Avoid fresh fruits and vegetables Discourage fresh flowers or live plants in the room. Cancer Therapies
Image of page 83
CHEMOTHERAPY Assess mouth Stomatitis (inflammation of the oral mucosa) may lead to severe swallowing problems and systemic infection Perform regular, but gentle mouth care. Use soft toothbrush or swab and rinse with normal saline or sodium bicarbonate solution every 2 to 4 hours. Use sponge-tipped applicator (toothette) help to prevent patient’s gums from bleeding during or after mouth care To prevent oral candida infection – prophylactic antifungal medication oral nystatin (mycostatin) suspension, clotrimazole lozenges, fluconazole Bland, soft diet
Image of page 84
CHEMOTHERAPY Assess skin Rash or eruption which may indicate infection Use electric razor to shave.
Image of page 85
Image of page 86

You've reached the end of your free preview.

Want to read all 116 pages?

  • Fall '19

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes