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1 Pediatric Chemotherapy Gina Brandl, RN BSN, MSN-Cand Nursing Instructor MSTC - Pediatrics.

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Presentation on theme: "1 Pediatric Chemotherapy Gina Brandl, RN BSN, MSN-Cand Nursing Instructor MSTC - Pediatrics."— Presentation transcript:

1 1 Pediatric Chemotherapy Gina Brandl, RN BSN, MSN-Cand Nursing Instructor MSTC - Pediatrics

2 2 Objectives The student will describe how chemotherapy works on cells normal and cancerous cells The student will describe the common side effects of chemotherapy The student will assist in developing a nursing care plan appropriate for the pediatric patient receiving chemotherapy

3 3 Chemotherapy –Specific drugs Kill normal and cancerous cells Given simultaneously –Achieves greatest cellular destruction Alters DNA –Administration Intrathecal (into spinal canal), oral or intravenous

4 4 Protocols Type of cancer Cell type Location and spread Drug Dose Interval of treatment Treatment for side effects Necessary laboratory studies (London et al., 2007)

5 5 Other Drugs Used Other drugs used in cancer treatment –Colony-stimulating factor Erythropoietin (Epoetin) Filgrastim (Neupogen) –Antimetics Ondansetron (Zofran) –Nutritional supports Help to maintain nutritional support –TPN & Lipids

6 6 Side Effects of Chemotherapy Occur when healthy cells are damaged –Occurrence Immediately Week to ten days Months to years –Permanent or temporary –Includes: hair loss, mouth sores, constipation, bone marrow suppression, nausea and emesis, anorexia and weight loss

7 7 Side Effects of Chemotherapy Hair loss Mouth sores Pain Constipation Bone marrow suppression Nausea and vomiting Anorexia and weight loss

8 8 Nursing Care Plan Nursing diagnosis –Risk for infection r/t immunosupression, invasive procedures, malnutrition, or pharmaceutical agents Goals, interventions with rationale and expected outcomes –Ineffective individual coping r/t situational crisis Goals, interventions with rationale and expected outcomes

9 9 References London, M. L., Ladewig, P. W., Ball, J. W., & Bindler, R. C. (2007). Maternal & child nursing care (2nd ed.). Upper Saddle River, NJ: Prentice Hall. Saint Josephs Hospital. (2006). Pediatric oncology – Education & resource guide. Marshfield, WI; Ministry Health Care Steinbrook, R. (2007). Erthropoietin, the FDA, and oncology. The New England Journal of Medicine. 356(24), p Retrieved December 16, 2007, from the website &sid=6&Fmt=3&clientid=13118&RQT=309&VNa me=PQD


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