Shared Flashcard Set

Details

Effects of Chemotherapeutic Drugs
From Medical-Surgical Nursing (Ignatavicius)
16
Nursing
Undergraduate 3
01/22/2011

Additional Nursing Flashcards

 


 

Cards

Term
Nsg. dx r/t Bone Marrow Suppression
Definition
Infection r/t neutropenia
Bleeding r/t thrombocytopenia
Anemia r/t reduced RBCs
Term
Neutropenia
Definition
decrease in neutrophils
One of most serious complications
Develops a couple of days after admin
nadir is 10-14 days later
Will recover in 3-4 weeks
Term
If WBC <3500
Definition
the next round of chemo tx is held
Term
Precautions for Neutropenic client
Definition
Hospitalization is controversial
*Protective isolation if hospitalized
Freq. monitoring of temp
C&S to determine causative agent
Use Biologically Modified Response
Term
Teaching Neutropenic Client
Definition
Avoid crowds, buffet, sick people, and animals
Report temperature, unusual bleeding
Monitor fever, chills, cough
Hygiene: ed re: careful teeth brushing
Term
Thrombocytopenia
Definition
Reduced platelets
<50,000: bleeding risk is greatly increased
<20,000: spontaneous bleeding risk
Term
Thrombocytopenia: Nursing Focuse
Definition
**Measure abdominal girth daily
Note s/s bleeding
Assess for ecchymoses (blue spots) or petechiae
Term
Teaching Thrombocytopenic Ct
Definition
Report: bleeding gums, increased bruising
Notify dr. re: tarry stools, hemoptysis, nosebleed
May have hypermenorrhea
Term
Tx for bleeding
Definition
Apply ice to area for 1 hours
Term
Anemia
Definition
decrease in # of circulating RBCs
Term
Tx for severe anemia
Definition
blood transfusion
Erythropoietin
Term
GI effects of chemo drugs
Definition
Rapidly dividing cells most susceptible
*Stomatitis
*N/V
*Abdominal Cramps
*Diarrhea
*Anorexia
Term
Teaching for GI effects
Definition
High protein/high calorie diet
-bland; small, frequent meals
Maintain good oral hygiene
-rinse mouth w/ plain water every hour while awake
Term
Other SE of chemo drugs
Definition
H/A, itching, rash, sterility, hemorrhagic cystitis
Loss of bone density, peripheral neuropathy, alopecia
Fatigue; cardiac dysrhythmias; damage to heart, liver, kidneys
Term
Types of Bone Marrow Transplant
Definition
*Allows intensive chemo
Allogenic: from another person
Autologous: From self
Term
Nsg. considerations for marrow transplant
Definition
Monitor site for infection
Education ct. re: pain with procedure
Supporting users have an ad free experience!