Cancer-Lab counts and IV chemo

Question 1

What are lab counts like?

Answer 1

Reduce WBC, RBC, and platelets

Hypercalcemia (with bone metastasis)

Question 2

What is an administrative issue when giving IV chemo?

Answer 2

Extravasation (drug leaks to surroundings tissue)

Question 3

How is tissue like if extravasation occurs?

Answer 3

Tissue will have necrosis

Question 4

Prevention of extravasation ?

Answer 4

• Careful monitoring of access site is critical during chemo administration to prevent leakage of larger volume
• Cold/warm compress (depending on drug)

Question 5

What are vesicants?

Answer 5

Chemicals that damage the tissue on direct contact

Question 6

What if extravasation occurs with a vesicant?

Answer 6

The result of extravasation can include pain, infection, and tissue loss

Question 7

What is needed sometimes with vesicant extravasation?

Answer 7

Surgery

Question 8

Why do many chemo pts. have a port implanted?

Answer 8

So peripheral tissues are not affected and extravasation chances decrease

Question 9

T/F: Even with a port, the nurse must observer closely for any indication of leakage and initiate management guidelines immediately

Answer 9

T

Question 10

PPE is used with what chemo?

Answer 10

Oral and IV

Question 11

Anyone preparing, giving, or disposing of chemo drugs of handling excreta (wastes) from pts. within ___ of receiving IV chemo must use extreme caution and wear PPE

Answer 11

48 hours

Question 12

What is PPE?

Answer 12

Eye protection
Mask
Double glove or chemo gloves
Gown

Question 13

T/F: If pregnant you should not handle chemo

Answer 13

T

Question 14

T/F: Chemo drug tubing comes primed

Answer 14

T (not always but this is done sometimes by pharmacy to keep chemo safe in controlled environment)

Question 15

Infection risk

Who gets neutropenic cautions?

Answer 15

WBC less than 1000

Question 16

Infection risk

How often to inspect IV sites?

Answer 16

q4h

Question 17

Infection risk

Chemo pts. should avoid what?

Answer 17

Invasive procedures

Question 18

Infection risk

What is for the pt. only?

Answer 18

Should have dedicated equip

Question 19

Infection risk

Avoid what foods?

Answer 19

Fresh fruit
Undercooked meat
Fish or eggs
Paprika
Raw nuts
Yogurt

Question 20

Neutropenia

What lab indicates this?

Answer 20

WBC less than 1000

Question 21

Neutropenia

What if pt. needs to leave room?

Answer 21

Place mask on pt. when transporting

Question 22

Neutropenia

What foods to avoid?

Answer 22

Fresh fruit, veggies
Undercooked meat
Fish
Eggs
Raw nuts
Yogurt

*these could all potentially contain bacteria

Question 23

During the times your WBC counts are low

Avoid what?

Answer 23

Crowds and other large gatherings of people who might be ill

Question 24

During the times your WBC counts are low

Do not share what?

Answer 24

Personal toilet articles

• toothbrush, toothpaste
• washcloths
• deodorant sticks

Question 25

During the times your WBC counts are low How often to bathe? With what? What if you can't bathe?

Answer 25

Bathe daily if possible Use antimicrobial soap If total bathing not possible, wash under armpits, groin, genitals, and anal area twice daily with antimicrobial soap

Question 26

During the times your WBC counts are low How often to clean toothbrush?

Answer 26

At least weekly by either running it through dishwasher or rinsing it in liquid laundry bleach (then rinsing bleach with hot running water)

Question 27

During the times your WBC counts are low When to wash hands?

Answer 27

``` Before eating and drinking After touching pet After shaking hands with ppl As soon as you get home from outings After bathroom ``` *wash with antimicrobial soaps

Question 28

During the times your WBC counts are low Follow what?

Answer 28

Cancer centrer instructions about eating fresh salads, raw fruits, and veg; meat, fish, egg; pepper and paprika

Question 29

During the times your WBC counts are low When to wash dishes?

Answer 29

Between use with hot, soapy water or use dishwasher Do not reuse cups/glasses w/o washing

Question 30

During the times your WBC counts are low Do not drink what after its been out at room temp for longer than an hour?

Answer 30

Water Milk Juice Or other cold liquids

Question 31

During the times your WBC counts are low Do not do what about pets?

Answer 31

Change liter boxes

Question 32

During the times your WBC counts are low How often to take temp?

Answer 32

At least once a day and when you don't feel well

Question 33

During the times your WBC counts are low Report what signs of infection to pharm. immediately?

Answer 33

- Temp over 100F - Persistent cough (w or w/o sputum) - Pus/foul smelling drainage from open skin/body openings - Presence of boil or abscess - Cloudy/foul smelling urine that causes burning

Question 34

During the times your WBC counts are low T/F: Take all prescribed drugs

Answer 34

T

Question 35

During the times your WBC counts are low Wear what when outside in garden or working with house plants?

Answer 35

Clean, disposable gloves underneath garden gloves

Question 36

During the times your WBC counts are low What about sex life?

Answer 36

Wear a condom if you're a man | Make man wear condom if you are woman