Question

9

A patient is about to undergo chemotherapy for lung cancer with a combination of cisplatin and etoposide, which is considered “high emetogenic risk.” Which of the following medications should be administered before the chemotherapy infusion is begun? (Select all that apply)

Answer 1

They develop a premedication plan before chemotherapy begins.
Nurse will give antinausea medication anti-emetic drugs, and sometimes Steroids, as IV.

1.cannula
2.central line
3.PICC line

These Medication used to block the nerve impulse that travels from the blood or stomach to the brain(vomiting center)
Antiemetic Medications :-

most common antiemetic medications are serotonin receptor blockers, also known as 5-hydroxytryptamine receptors or 5-HT3 receptor antagonists.
ondansetron came on the market in 1991," it was the first commercially available 5-HT receptor.
aprepitant, a neurokinin receptor blocker, is another drug that is added to the 5HT3 blockers to prevent nausea and vomiting that results from chemotherapy.

Treating Nausea and Vomiting

Adopamine blockers such as Prochlorperazine (compazine) are common choices.

If Patient have anticipatory nausea nurses give them an antianxiety medication, such as lorazepam, before or after treatment.

If pateint is already having vomiting, a suppository medication will stop it. A suppository is a small casing that contains drugs and is inserted into the body. The case dissolves or melts and releases the drugs.

Taking ginger products like ginger ale or tea, help relieve nausea. Before, during and after treatment, eating small frequent meals will help and Avoiding foods with a strong odor, such as pizza or Chinese dishes. choose cold foods over hot ones.

Nurse will give etoposide as a infusion over an hour. Then they will give cisplatin as a drip over a longer period of time.