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P3 - Therapy 3 - Chemo 1
P3 - Therapy 3 - Chemo 1
40
Pharmacology
Professional
04/16/2013

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Cards

Term
Amifostine
Definition
Helps reduce the level of renal injury in some cancer patients treated with platinum based therapies and/or radiation
Term
Dexrazoxane
Definition
Used to decrease cardiac events in cancer patients exposed to anthracycline therapy
Term
Leucovorin
Definition
Used to rescue "normal" cells after exposure to methotrexate
Term
Mesna
Definition
Used to decrease bladder irritation (hemorrhagic cystitis) caused by ifosfamide or cyclofosfamide
Term
Sodium Loading/Hydration
Definition
Used to protect kidneys from renal injury
Term
Daunorubicin cumulative lifetime dose
Definition
400-600 mg/m2
Term
Doxorubicin cumulative lifetime dose
Definition
550 mg/m2
Term
What is the name for a cancer of the bloodstream or bone marrow?
Definition
Leukemia
Term
What is the name for a cancer of lymphatic tissue?
Definition
Lymphoma
Term
Busulfan is used at high doses as an agent to prepare patients for BMT. What is a significant adverse effect that requires prophylaxis for these patients?
Definition
tonic-clonic seizures - prophylaxis with an anticonvulsant
Term
Irinotecan is a topoisomerase I inhibitor known to cause significant diarrhea. According to the textbook chapter, what are ways to treat this diarrhea?
Definition
Acute diarrhea during infusion can be treated with atropine.

Delayed diarrhea is treated with loperamide 2mg every 2hrs until diarrhea has stopped x 12 hrs.
Term
What are common types of cancer that are described as carcinomas
Definition
Lung, Breast, Colon
Term
This drug is a pro-drug for 5-fluorouracil (5-FU).
Definition
Capecitabine
Term
Mucositis is a common adverse effect for this drug. Oral mucositis may be reduced if the patient uses ice chips in the mouth for 30 minutes after a bolus of this medication.
Definition
5-FU
Term
What tissues are commonly considered to be the origins for cancers labeled sarcoma?
Definition
Muscle, Bone, Fat
Term
This drug is potentially fatal if given via the intrathecal route.
Definition
Vincristine
Term
When given with allopurinol the dose of this agent must be reduced by 66-75%.
Definition
6-MP
Term
When using this agent at high doses eye irritation must be prevented with the use of around-the-clock ocular steroid administration.
Definition
Cytarabine (Ara-C)
Term
Palmar-plantar erythrodysesthesia is a potential adverse effect seen with these agents. What is the name of one of these drugs?
Definition
Capecitabine or 5-FU
Term
This alkylating agent is known to have an acrolein metabolite, and can causes hemorrhagic cystitis. At high doses it is recommended that patients receive the chemo-protective agent Mesna in addition to IV hydration.
Definition
Cyclophosphamide
Term
This platinum based agent is known for the ability to produce a cold-induced neuropathy.
Definition
Oxiplatin
Term
This glycopeptide can produce significant pulmonary toxicity.
Definition
Bleomycin
Term
Dose of Bleomycin that, if exceeded, can result in pulmonary toxicity
Definition
400 Units
Term
Name a common adverse reaction seen with interferon therapy? Pretreatment with acetaminophen may reduce this complication.
Definition
Flu-like syndrome/symptoms
Term
This immune therapy can cause serious adverse effects when given IV due to vascular leakage of the agent.
Definition
Aldesleukin or IL-2
Term
This agent is a member of the alkylating class and requires use of the chemo-protective agent Mesna in addition to IV hydration to prevent hemorrhagic cystitis.
Definition
Ifosfamide
Term
Use of topical corticosteroids can reverse the antitumor effects of this immune therapy.
Definition
Aldesleukin or IL-2
Term
Use of this monoclonal antibody can lead to significant GI toxicity, including a perforated bowel.
Definition
Bevacizumab
Term
Trastuzumab targets the HER2 receptor that is over expressed in some patients with breast cancer (25-30%). What adverse effect can occur with use of this agent, especially when used in combination with an anthracycline?
Definition
Severe CHF
Term
This form of chemotherapy is given prior to the surgical procedure.
Definition
Neoadjuvant
Term
This form of chemotherapy approach is given in an effort to destroy any left-over cancer cells that may be present after the known tumor is removed by surgery.
Definition
Adjuvant
Term
Provide me with the name of one chemotherapy agent that can produce a bowel obstruction.
Definition
Vincristine, Paclitaxel
Term
What agents should be used as a pre-treatment when using paclitaxel?
Definition
Dexamethasone, Diphenhydramine, H2 Blockers - Hypersensitivity rxn
Term
What special issue is there for patients with ascites or an effusion that should be considered prior to methotrexate therapy?
Definition
Third spacing
Term
The enzyme based chemotherapy agent can cause allergic reactions and can deplete fibrinogen.
Definition
L-Asparaginase
Term
This chemotherapy agent is primarily excreted via the kidney. It is associated with significant hypokalemia and hypomagnesemia, and aggressive hydration is necessary to prevent damage to the kidneys. If that is not enough, this drug is also highly emetogenic and can cause ototoxicity.
Definition
Cisplatin
Term
Patients will likely experience urine that is blue-green with this anthracycline.
Definition
Mitoxantrone
Term
Liposomal doxorubicin is generally less toxic than regular doxorubicin. What adverse effect is specific to the liposomal dosage form?
Definition
Palmar-plantar Erythrodysesthesia
Term
A patient previously on daunorubicin is being considered for a new regimen that involves mitoxantrone. What is the cumulative dose limit for mitoxantrone for this patient?
Definition
120 mg/m2
Term
This monoclonal antibody has been known to cause severe infusion reactions and severe and prolonged immunosuppression requiring prophylaxis.
Definition
Alemtuzumab
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