*look at mg/kg/ dosage calculations
•side effects of chemo-kills all rapid dividing cells (hair follicles, mouth, gi, skin cells) look for s/s
of stomatitis.teach about infection prevention (handwashing,masks, avoid crowds, report
cough/low-grade fevers, avoid fresh food/vegetables that haven’t been washed & buffets. prefer
foods to be cooked)
•give immune boost drugs 24hrs after chemo therapy. monitor WBC
•Anemia-can happen with chemo, may cause fatigue/activity intolerance. may give epoetin alfa,
which may cause bone pain
*look at the drug epoetin alfa/cisplatin
•remember that when giving chemo it is TOXIC & there are specific protocols
•cyclosporine-DO NOT switch brand names with immunosuppressants bc blood level monitoring
is specific & critical
*look at drug cyclosporine
*know different types of immunization
•GI drugs: antacids, make sure to ask about because long term use can hide symptom that
needs addressed by a PCP. when giving calcium/magnesium/antacids, be careful w/
magnesium bc it can’t be given w renal impairment.
*look at famotidine & simethicone
-simethicone: reduces gas, common for babies
*omeprazole: PPI used to tx. peptic ulcer symptoms caused by H-pylori (they still need
antibiotics)
*know side effects of PPIs
•discourage long term use of laxatives bc it can cause physical dependence(know diff types of
laxatives)
-ex: probiotics for long term antibiotics
lactulose for liver failure
lubricant for acute constipation
•know antidiarrheals
*know difference between TPN & PPN. we prefer TPN, with PPN phlebitis risk is high
*look at metoclopramide & scopolamine
-know complications of different vitamin deficiencies
*zinc: when taken PO helps w wound healing. don’t confuse w Zinc oxide, which is for diaper
rash/barrier cream
*know about iron & administration: remember they have black stools, doesn’t mean blood but
may still need to test. PO iron can cause constipation, take with citrus juice for absorption & if
liquid use a straw to avoid teeth staining
•for anyone on TPN/PPN or enteral, check blood sugar q6h-may cause hyperglycemia but can
get hypoglycemia if stopped for any time period.
•skin preps: allergic to iodine if allergic to shellfish.
•know teaching points with isotretinoin (avoid getting pregnant, can cause suicide ideation)
⬇️
look at
*nystatin:
*acyclovir
*mupirocin
*silver sulfadiazine
•for eyes, know abt latanoprost
*know proparacaine & timolol
•know education on eye-drop administration & ear-drop administration