Hematological/Oncological

herbal supplements

risk for bleeding garlic ginkgo ginger feverfew

iron

don’t give with clacium or antacids

tamoxifen

estrogen modulator, prevents breast cancer recurrence, blocks estrogen, can cause thromboembolic events and endometrial cancer

brachytherapy

placed in a lead room and lead shields, limit time of exposure, staff involved with pt must wear dosimeter badge, avoid device dislodgement by bedrest, visitors must stay at least 6 ft away from them

tumor lysis syndrome

rapidly dividing cancer cells break down, causes hypocalcemia, hyperuricemia, hyperkalemia and hyperphosphatemia, allopurinol is given to decrease hyperuricemia and keep it normal

filgrastim

often given to chemoa patients to stimulate neutrophil count