In: Nursing
Drugs A & B are used to treat a specific type of cancer. Clinicians sometimes prescribe both. They observe that patients on the 2-drug regimen survive, on average, one year longer than patients on either Drug A or Drug B.
What is the phenomenon they are observing?
In this scenario, is it a positive phenomenon, or a negative phenomenon?
If you were the analyst, what are the calculations you would perform?
i) What is the phenomenon they are observing?
The main phenomenon of prescribing drugs is to cure by destroying
all the cancer cells and also of lowering the chances of
resurgence. The main decision on drug depends on factors such as
the location of the cancer cells and its severity
,depending on the albeit cells which undergoes genetic changes,
divides fast in the uncontrollable rate. These are toxic to normal
cells and causes various side effects such as the hair loss,
cardiac anomalies, bone marrow toxicity.The first drug or the
combination of drug used to control these cancer cells are known as
first line cells and the second further drug
treated are called as the second-line. The
decision of which drug to use according to age,
history of patients caonditions and stage of cancer and
Cycles that are followed by a rest period when no
treatment is given but only the drugs are also been observed. The
limitation of dose and cells
actions after the drugs given , time taken for
cells to get destroyed and in which way these drug
interactions take place and prevents, cures the
cancer cells without any side effects and making sure of
its come back are observed. The adverse effects are be to required
in order to reduce the drug dosage or the drug regimen should be
changed to make much tolerable to patient's condition.
ii) In this scenario, is it a positive phenomenon, or a negative
phenomenon?
Two drugs in a cycle prescribed may be called as Drug-Drug
interaction according to the body cells. It is neither challenging
to be stated as it is positive nor negative phenomenon in case of
intaking both drugs. Since each and every drug taken is to be
concerned with more risk and at the same time it may be beneficial
to the one who's body cells can tolerate and work againts cancer
cells. But also when drugs are used together theireffects can be
additive, synergistic or antagonistic which depends upon the
patient's health conditions. In case if the both drugs are suitable
to the patient and does recover very well without any unfavourable
circumstance it may be said as Positive Phenomenon regarding in
concern to that specific patient. In most cases this is very
risk to interact drug on elderly patients or even
in some adults that their health condition may not support
physically and hence can be said as Negative Phenomenon.
iii) If you were the analyst, what are the calculations you
would perform?
Drugs are given on the basis of the age of patient, what kind of
cancer, and according to the overall history of the patient and
most importantly the stage of the cancer. As a
analyst prescribed drug"s reactions and symptoms to be noted is the
first major thing to be done.
1} If Drug A is given to the patient and after the concerned
period of time with the dose prescribed by
Clinician, analyst should note the symptoms, other
changes which encompassed in the patient and prepare a final result
chart including the foods intaken, duration of bedtime and physical
activities of the patient .
2} Next the same cycle to be continued with Drug B to the patient
and with the final result, in which Drug the pateint's cancer cells
slow down their growth and destroy the cancer cells and stop them
from spreading is most preferable one to regain the patient for
normal survival.
Usually, according to the length, timing, and number of cycles of drugs depends on the combination of these various drugs used and on which type of cancer it is used for. The oncologist sets the schedule of when and at which time these drugs to taken and may be the cycle changes are decided on how well the drug is working and tolerates. Overall dose is based on the body surface area (BSA) of the patient that includes of age, height, weight. Most drugs used to treat cancer are given by injections into a vein or taken orally by mouth. So, in concern with all these things the Analyst should perform the calculations.