chemo meds

• Examples:
• Leukeran
• Mustargan
• Platinol

• ◦Nursing
• Interventions
• •Force fluids to 2 liters/day

•Offer antiemetics PRN

•Monitor renal labs

•Encourage good oral care

Examples:

•Carmustine

•Semustine

•Lomustine

•Streptozocin

• ◦Nursing
• Interventions

•Monitor CBC

•Monitor for infection & bleeding

•Administer antiemetics PRN

Safety precautions for falls

Examples:

•Bleomycin

•Adriamycin

•Doxorubicin

•mitomycin

Nursing Interventions:

•Monitor for extravasation

•Monitor for cardio toxicity

•Monitor pulmonary function

•Teach regarding alopecia

•Administer antiemetics PRN

•Teach regarding MUGA heart scan.

Examples:

•Folex

•Methotrexate

•Hydroxyurea

•pentostatin

Nursing Interventions:

•Monitor for renal and hepato- toxicity

•Monitor CBC & BMP

•Monitor for infection & bleeding

• •Administer antiemetics and antidiarrheals as
• ordered.

•Administer good mouth care

Examples:

oPlant alkaloids:

•Vincristine

•Vinblastine

oTaxanes:

•Placlitaxel

•Taxotere

Nursing Interventions:

•Monitor CBC

•Monitor for bleeding and infection

•Monitor for neuropathies

•Administer gentle mouth care

Examples:

•Estrogen

•Progestins

•Androgens

•Steroids

o

oEflex

oNolvadex

—Nursing Interventions:

•Administer analgesics & antiemetics PRN

•Perform neuro checks

•Monitor respiratory status

•Monitor for edema

•Monitor for increased calcium and sodium.

• •Teach regarding SE: hot flashes,
• masculinization, etc…