Management of Acute Side effects

Question 1

How the pt can manage dry desquamation (3000 - 4000 cGy) and moist desquamation (4000 - 6000 cGy)

Answer 1

If skin breakdown occurs, do the following:
• If dry desquamation has occurred, continue to use moisturizing lotion.
• If the skin is tender, use cortisone cream as directed.
• For moist desquamation, consult nurse and physician for prescriptions or
moist healing techniques. (The physician may consider temporarily stopping
further treatment.)
• Try to aerate areas of skin breakdown, especially in skinfolds.

Question 2

How the pt can manage Epilation/Alopecia

Hair loss 2000 cGy

Answer 2

Protect the scalp from heat, cold, and wind. Suggest an appropriate head covering. Do the following to minimize scalp irritation:
• Avoid frequent shampooing.
• Avoid using blow dryers, hairsprays, gels, or other hair preparations.
• Apply moisturizing lotion to the scalp.
• Explore issues related to body image (e.g., getting a wig or hairpiece at the
start of treatment).

Question 3

How pt can manage Mouth changes
• Stomatitis
• Xerostomia
• Mucositis
• Taste alterations

(all @ doses 2000 - 3000 cGy)

Answer 3

• Inspect the oral cavity.
• Assess the presence of stomatitis, xerostomia, mucositis, and taste changes. • Instruct the patient about a soft, bland diet - (mashed potatoes, cream of wheat, applesauce, ripe bananas), avoid drying agents like alcohol
and practice gentle dental care. Use mouth rinses as directed by physician

Question 4

How pt can manage Esophogitis

doses of 2000 - 3000 cGy

Answer 4

Modify the diet to soft, nonspicy, and nonacidic foods.
• Use topical anesthetics and analgesics as prescribed.
• Assess cough.