What are the nursing problems of adverse reactions of anti-tumor drugs?

Answer 1

The nursing problems of adverse reactions of anti-tumor drugs included the following aspects:

** 1. Bone marrow toxicity **
1. ** White blood cells decreased **
- When the white blood cells were low, the patient should be paid attention to whether there were any symptoms of fever or infection. If the white blood cells were low to a certain extent, these symptoms might require further intervention by a doctor, such as anti-infection treatment, or an injection to raise white blood cells under the guidance of a doctor.
2. ** Red blood cells decreased **
- The number of red blood cells can be increased through diet or medicine.
3. ** Platelessness **
- It could also be adjusted through diet or medicine.

** II. Toxic reactions related to the respiratory system **
1. ** pneumonia-like Lesions and Lung Fibrosis **
- The patient may have symptoms such as cough and breathlessness for unknown reasons. During nursing, one should pay attention to the breathing situation and discover possible respiratory problems early.

** 3. Target-related drugs **
1. ** Rashes and Ulcers **
- If the side effects of the targeted drug are obvious at the beginning, you can try to adapt slowly or adjust the dose of the drug.

** 4. Fever related **
1. ** Observation and Treatment **
- Closely observe body temperature and blood pressure, timely fluid replacement, use antipyretic and hormones to avoid serious consequences. If the patient has a high fever after taking the medicine, 50 milligrams of indometacin suppository can be administered rectally half an hour before the next use (after a preventive test has been conducted, such as a small dose (1 milligram) of BLM on the day before the use, and the temperature, pulse, breathing, blood pressure, etc. are observed).

** 5. Edema related **
1. ** Reason and Treatment **
- A variety of anti-tumor drugs can cause edema, such as chemotherapy drugs such as Docethel and gemcitobin, and hormone therapy drugs such as pregnen and bicalutad. Diuretics and anti-swelling drugs can be used to reduce the symptoms of edema. Troxerutin-coumarins, diosmin, and horse chestnut tree seed extract are beneficial to drug-induced edema. They can protect blood vessels, improve venous tension, increase lumbar drainage, and improve capillaries.

** 6. Stomacitis-related **
1. ** symptoms and care **
- The inflammation affects the entire digestive tract from the mouth to the anus. In cancer treatment, many patients will develop myozotis. For example, 40% of standard chemotherapy patients and 76% of bone marrow transplant patients may have oral myozotis, among which DMP, 5 - Fu, and MTX are more common. Administration of large doses of 5 - Fu can produce severe myozotis with bloody diarrhea, which can be fatal in severe cases. During nursing care, attention should be paid to the symptoms related to the digestive tract mucus, such as stomatis, oral ulcers, inflammation, proctis, etc., to prevent secondary infection, and to pay attention to whether the patient has low digestive function caused by nutrient absorption disorder.

** VII. Toxic reaction related **
1. ** peripheral neuropathies **
- It was more common for drugs such as cisplatine and chemotherapy to cause peripheral neuropathies, which was related to the accumulation of dosage and quantity. During nursing, it was necessary to pay attention to whether the patient had symptoms related to peripheral neuropathies.

At the same time, the patient should be told to keep warm, avoid catching a cold, and not go to crowded places to avoid infection.
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