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Basic function of cancer drugs
Kill cancer cells without killing immune system
Adverse rxn of cancer drugs
Nausea, vomiting, fatigue, alopecia, anemia
Common a uperinfections
Oral thrush, c diff
Blood dyscrasia
bone marrow suppression- all of the blood cells are out of whack-h/h low, everything is
low. Sometimes they find cancer with this. Come in for routine physical and their labs
are abnormal. In cancer patients we try to avoid this-nupogen, epoiten Alfa
Aspirin
Maroon stools are a concern, ear ringing, black stools, heartburn, known as anti
inflammatory, bleeding, considered NSAID
Most immediate concern of ibuprofen
GI Bleed, (losing blood, losing volume, can lack perfusion)
Best choice of medication for a patient with kidney disease
Acetaminophen
Main concern for acetaminophen use
Liver toxicity
Pt is taking acetaminophen for pain management. What symptoms should the
client be vigilant that could indicate issues associated with acetaminophen
jaundice from increased bilirubin
Which labs would you expect to see when taking acetaminophen
high AST, ATL, bilirubin, albumin
OTC Interactions with acetaminophen
Many OTC drugs contain acetaminophen
Max dose of acetaminophen per day
4g or 4000mg
Which assessment is a priority for the nurse when administering pain
medications?
Respiratory rate is 12- can cause respiratory depression. 12 is on the low end of the
spectrum. Look at ABCs
Morphine and opioids can cause what?
Respiratory depression, constipation
What is a person taking a COX 2 inhibitor at risk for?
MI and Stroke
Narcotic overuse syndrome
drowsiness/sedation, constricted pupils, N/V, constipation, shivering, euphoria, itching,
pruritis, tolerance, confusion
What statements regarding suboxone is accurate?