Supportive meds

Question 1

L-glutamine

Answer 1

may reduce severity of mucositis when used during chemo

Question 2

Acute Nausea and vomiting, 5-HT3 antagonists

Answer 2

Ondansetron (zofran)
dolasetron (Anzemet)
granisetron (kytril)
palonosetron (Aloxi)
tropisetron (Navoban)

Question 3

Delayed N/V, dopamine antagonists

Answer 3

prochlorperazine (compazine)

promethazine (phenergan)

Question 4

Delayed N/V, NK-1 receptor antagonist

Answer 4

aprepitant or fosaprepitant (Emend)
Netrupitant and palonsetron (Akynzeo)
Rolapitant (Varubi)

Question 5

Corticosteroids

Answer 5

dexamethasone, prednisone

helps with nausea and appetite

elevates BGs

Question 6

Pancrelipase

Answer 6

prescribe 500- 1000 lipase units per gram of fat

do not exceed 4000 lipase units per gram of fat

do not exceed 2500 lipase units per kg of body wt per meal, or 10000 lipase units per Kg BW per day

OR per meals- 20000- 75000 lipase units per meal and 5000-50000 lipase units per snack