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NURSING THE CHEMOTHERAPY PATIENT - Coggle Diagram
NURSING THE CHEMOTHERAPY PATIENT
ROOM
CHARACTERISTICS
Dedicated and restricted access - minimise exposure risks
Quiet and calm environment
Easy to clean surfaces - ensure proper decontamination
Adequate ventilation / safety cabinets - prevent aerosolization and protect staff
Designated kennels / wards - marked with warning signs
Designated outdoor area
ESSENTIAL EQUIPMENT
Cytotoxic spill kit
Appropriate waste disposal
Dedicated equipment
PPE
Double apron, double gloves, protective eyewear, chemo-impermeable gowns
Closed-system drug transfer devices
BINS
Purple-lidded sharps bins / containers
needles and syringe
scalpels, blades and broken glass vials
must be puncture-resistant and leak-proof
Purple-lidded / labelled bags or rigid containers (non-sharps)
gloves, masks and disposable gowns
swabs, bandages, and absorbent pads used in administration or cleanup
empty drug vials or packaging
NURSING CARE
BEFORE
clinical assessment
bloodwork review
patient calmness
catheter placement
pre-medication
antiemetics / anti-nausea
DURING
monitor side effects such as nausea, vomiting, diarrhoea, lethargy and anorexia
dietary adjustments, appetite stimulants and even tube feeding
ensure they are warm and comfortable
emotional support and quality of life
AFTER
owner education
pain management and comfort
client communication
HOME CARE AS AN OUTPATIENT
when handling meds wear disposable gloves, store safely, wash hands, return unused meds, empty vials or syringes
Chemotherapy drugs are excreted in urine, faeces, vomit, and saliva, primarily in the first 48-72 hours after treatment, but potentially for up to 7 days, depending on the specific drug.
wear disposable gloves
designate outdoor area
clean waste immediately
wash hands after contact
supervise interactions with children
discourage pet from licking
monitor closely