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Nursing Care Chemotherapy

Posted on July 22, 2015 | No Comments on Nursing Care Chemotherapy

Chemotherapy is a medical therapy that use chemicals for the treatment of disease and parasites which is usually used for treating cancer. Different types of “cancer” entails different chemotherapy procedures/ administration using different types of chemotherapeutic agents or chemicals. Nursing care in Chemotherapy starts with a systematic knowledge of the patients condition, objectives of the rehabilitation, doses of drugs to be used, routing and schedule of treatment, administration procedures and potential side effects of the therapy. Nursing care extends to monitoring patient responses to the procedure, reevaluating and recording signs and symptoms, and maintaining open communications with both patients and members of the healthcare team to any pertinent information.

Before the chemotherapy administration, the nurse must be knowledgeable of the chemotherapy drugs prescription which includes name of anti-neoplastic agent, dosage, schedule of administration. He she correctly identify the patient and must be familiar with other medications such as antiemetics and sedatives etc. An evaluation of the client should be conducted including blood counts (blood components) as well as assessment of any pertinent circumstances that can counter chemotherapeutic agent administration such as infection, stomatitis, physical status as well as anxiety or psychological status of patient. To be ready for potential complications, Nurse should review policy and must have intervening medications at hand in case of extravasation for anaphylaxis. The nurse will then prepare agent to be used by checking dosage accuracy, drug expiration, correct reconstitution and administration procedures. Patients must also be informed about these procedures.

The chemotherapy drugs are strong, are potentially dangerous to everyone. Nurses lead in taking precautionary measures to protect people to get in contact with the chemicals in chemotherapy treatments. In the same token contamination from the patient’s urine, feces or even vomits (emesis) should also be prevented by flushing the toilet twice. It would be advisable for the patient to have his/ her own toilet. It is a must for patients to use condom to prevent sexual transmission of chemicals. Meanwhile all other materials that may contain fluids, sweat or any other waste from the patient should be prevented to be exposed to other people. Any accidental contact with such body fluids should be thoroughly washed with warm soapy water so that family members, friends and other visitors won’t get sick or get contaminated by the dangerous chemicals, that can equally expose risk to cancer or other diseases.

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