Chemo certification Lesson 2 part 2, Questions and answers, 100% Accurate/ VERIFIED.

Chemo certification Lesson 2 part 2, Questions and answers, 100% Accurate/ VERIFIED. med thats never given intrathecally and why - Vinca alkaloids Vincristine Neurotoxicity, coma, death PPE required for PO chemo (intact pills or capsules) - One pair of chemo gloves Rules for altering PO chemo - Crushing or splitting pills has to happen under a chemo hood (biologic safety cabinet) PO chemo examples - Hydroxyurea Thalidomide Capecitabine SubQ and IM chemo rules - Don't massage site Use smallest gauge possible Use antiseptic on site first Do NOT express bubbles without chemo hood PPE required for SubQ and IM chemo - 2 gloves and gown face shield if splashing possible IV chemo requirements - Blood return before, during, and after tx IV chemo push technique and rule - Side-arm/free-flow Fluids running while using Y port Check blood return every 2-5ml IV piggyback chemo rules - Check blood return Q5-10 min If peripheral IV for vesicant: - No longer than 30-60min total - Do NOT use a pump Continuous infusion IV chemo rules - Use central line if you need to give a vesicant over >60min Blood return checked per protocol - usually Q4-8hr Intra-arterial chemo main points - Puts high dose chemo directly into artery that feeds the tumor Requires specialized training Cisplatin is one Types of cancer intra-arterial chemo treats - Liver Head Neck Bone Intrathecal chemo MOA and rules - To cross blood-brain barrier Goes in the cerebrospinal fluid Use preservative-free solutions only Label bag "For intrathecal use only" Timeout before administration Can be administered by the following: - Oncology doctor - Radiologist - Advanced practice provider Intrathecal chemo list - Methotrexate Cytarabine Intraperitoneal chemo rules and