Question

W.S. is receiving cisplatin as part of treatment for ovarian cancer. She is receiving her third treatment today and has just arrived at the cancer treatment center for her outpatient infusion. W.S. says that she felt “okay” during the time between the last treatment and today but is not looking forward to today's treatment because of the side effects.

1. While the nurse prepares to start the infusion, what is important for the nurse to assess before beginning the chemotherapy?

2. What will the nurse do before the infusion to help reduce or prevent adverse effects?

3. During the infusion, W.S. mentions that she is hearing a slight “roaring” sound and that she feels a bit dizzy. What will the nurse do next?

4. After stopping the infusion, the nurse spills some of the chemotherapy solution on her arm and the floor. The nurse wipes up the solution with a paper towel and then notifies the charge nurse. The charge nurse becomes concerned and calls the house supervisor, environmental services department, and the hospital's occupational health nurse. What went wrong?

Answer 1

1.Nurse should assess the vital signs of the patient.she should check the drug order ,name of the patient ,dosage and expirey date of medicine.check that patient have history of allergy of any medication.she should check the accuracy of the intravenous line.

2.she should administer pre medication includes anti allergic ,dexamethazone and pantaprazole to prevent allergies according to physicians order.

3.Nurse should stop the infusion immediately as the patient experiences any side effects.Then,inform the doctor .

4.Because chemitherapy drug is considered as hazardous drug.Thus.it can be harmful for the person those who contact with it.so,it should be cleaned according the procedure wise to prevent further complications.so,spillage of chemotherapy should be reported.