S.B. is a 57-year-old African American man with newly diagnosed late-stage small-cell lung cancer. He has...

S.B. is a 57-year-old African American man with newly diagnosed late-stage small-cell lung cancer. He has undergone radiation therapy to the brain for his metastases and is to start chemotherapy next week. His past medical history includes hypertension. He has no known drug allergies. A combination chemotherapy regimen has been chosen: cisplatin 100 mg/m² for one dose on the first day and etoposide 100 mg/m² IV every day for 3 days. He has experienced nausea and vomiting.

List the specific goals of treatment for S.B.
What drug therapy would you prescribe? Why?
What are the parameters for monitoring success of the therapy
Discuss specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for the second-line therapy?
What OTC and/or alternative medications would be appropriate for this patient?
What dietary and lifestyle changes should be recommended for this patient?
Describe one or two drug-drug or drug-food interactions for the selected agent.

Write your prescription for this patient.

Solutions

Expert Solution

#. The specific goals of treatment for S.B are :-

- To treat the disease

- To reduce his pain and othe clinical manifestations

- To treat side effects of chemotherapy

- To regain his normal activity of daily living

- Fever management

#. The drug therapy that would be prescribed is combination chemotherapy treatment in which radition therapy for metastatic region and chemotherapy including cisplatin , etoposide is given as general for the region of origin .

#. The parameters for monitoring success of the therapy are :-

- CECT

- PET - scan

#. Specific patient education include :-

- Advice how to prevent infection as the patient is immunocompromised and has high chances to acquire infection

- Teaching fever management

- Teaching importance of regular follow up and compliance to therapy

- Advicing to have a nutritious diet and hygiene maintainence

- Explaining about the warning signs and what to do when it happens

Nightingale answered 1 year ago

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