Exam (elaborations)
Fundamentals of Chemotherapy Immunotherapy Administration
Fundamentals of Chemotherapy Immunotherapy Administration
[Show more]
Content preview
Fundamentals of ChemotherapyImmunotherapy Administration
Hematologic cancer (blood cancer) - --cancer that begins in bone marrow or
immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
-Leukemia - -cancer starts in blood-forming tissues like bone marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
-Lymphoma - --cancer that begins in immune system (WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) - make antibodies (bacteria and viruses, most
common lymphoma
-T lymphocytes (T cells) - boost/slow immune, destroy germs and abnormal
cells
-Hodgkin lymphoma - -Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
-Non-Hodgkin's Lymphoma - --large, diverse group of cancers in immune
system cells
-indolent (slow growing) or aggressive (fast)
-Myeloma - -Cancer in plasma cells (WBC that produce antibodies)
-Chemotherapy - -All antineoplastic agents used to treat cancer, given
through oral and parenteral routes or other routes as specified in the
standard, not including hormonal therapies.
-Who can order chemotherapy? - -Written and signed by licensed
independent practitioners (MD/DO, PA, Oncology NP)
-Can you use verbal orders for chemotherapy? - -NO! Only when
holding/stopping admin.
-Who can mix Chemotherapy? - -Pharmacist, Pharmacy tech, MD/DO,
qualified RN
-Who can administer chemotherapy? - -Registered Nurses with specialized
education, prep and training. See specific state laws and statutes
-How often is chemo competency reassessed> - -Annual continuing ed and
competency assessment is recommended
, -What is the dose verification process? - --confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration
date, appearance
-document verification in chart
-What PPE is required for IV Chemotherapy? - --Gloves: two pairs, HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield/mask
-Neoadjuvant therapy (tumor burden) - -Chemo BEFORE primary treatment
(common in breast and colon)
-Adjuvant therapy - -Chemo AFTER primary treatment (common in solid
tumor)
-Bone Marrow - -soft, sponge-like tissue in center of most bones, produce
WBC, RBC, and platelets.
-Myelosuppression - -bone marrow activity is decreased, causing less RBC,
WBC and Platelets.
-Myeloablation - -severe myelosuppression
-Induction phase - -initial phase, typically in hospital, intended
myelosuppression
-Consolidation phase (intensification/postremission therapy) - -after
successful induction, kills cancer cells left in body (ex radiation, stem cell
transplant)
-Synergy - -when one chemo drug helps another work better at the same
time
-Complete response - -no identifiable cancer present for at least one month
or longer
-Partial response - -Measurable tumor reduced by 50% for at least one
month with no new tumors
-Stable disease - -Tumor size reduced by less than 50% or less than 25%
increase in growth
-Progressive disease - -tumor growth more than 25% or new cancer
-What are the phases of the cell cycle? - --G1 phase
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.30. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
48756 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 15 years now