AH2 exam 4 chemo/radiation complications

wet desquamation

radiation

• dont pop blisters

• cover in non adhesive pad

• avoid frequent washing

• prescribe creams or ointments

• consult w provider if eschar forms

dry desquamation

radiation

• avoid the sun

• keep dry

• avoid rubbing or itching

• no hot showers or ice packs

• sunscreen

• no cosmetic or scented lotions

• lukewarm water to bathe

• avoid tight clothing in area, use cotton clothingskin irritation and peeling that occurs with radiation therapy, characterized by dryness and flaking of the skin.

alopecia

cancer and radiation

• emotions

• body temp

  • cold caps - hot

  • hat - cold

• the temporary thinning or complete loss of hair

• suggest ways to cope

lymphedema

radiation

• no bp or iv on affected side

NV

chemo and radiation

• antiemetics prior to tx

• assess pt previous experiences

• prevent unpleasant stimuli

• distraction

• oral care before meals

• increase activity as tolerated

• pain control

• soft cooked foods and cold

• dietician

• food from home

• hydration

• contributing factors

mucositis

radiation

• frequent and gentle oral hygiene

• ice chips

• magic wash - lidocaine

• baking soda

• salt water

• avoid hot, spicy, acid, glycerin or ETOH wash

chemo complications

bone marrow suppression - aplastic anemia

extravasation and infiltration

encephalopathy

hyper Ca+

renal: hemorrhagic cystitis, AKI

cardiopulmonary: pulmonary fibrosis, pneumonitis, percarditis, HF

reproductive: decreased sperm

neuro: encephalopathy, peripheral neuropathy, altered touch sensation

cognitive: chemo fog, decreased executive function

other: cancer

pain

SIADH

water retention

edema, SOB, HTN

decreased sodium due to dilution

change in LOC and seizures

tx: 3% sodium chloride, sodium tabs, diuretics, fluid restriction (800 mL - 1.5 L)