The observation and prevention of chemotherapy medicine reaction
1.The prevention responds many anti- tumors the medicine is like nitrogen Jie and lives a new life mildewed vegetable, long spring new alkali etc. all includes stronger part incitement, if because the operation carelessly infuses into a skin bottom, can cause to organize bad die even through long not more, inject not appropriate can cause vein to blaze.In the process of using in, should work well to explain a work to the sufferer, cancellation strain mental state, and introduce a medicine property, poisonous pair reaction, make the patient in advance know farely well, keep housebound person from bearing being subjected to dint strong or unwillingly bear with ache, don't report to the medical personnel but result in bad result.Inject side inquiry in response to the side, the observation aware of self symptom and toxicity reaction.Such as carelessly infuse into a skin bottom, the part needs to inject dilution in physiology brine, and use homologous antidote or the Jie anti- in the meantime, partial with golden satisfied spread or use 50% magnesium sulfate wet spread for 6~12 hours, can also Tu Qing turn can of loose, the ice-packing is 24 hours.Big parts of anti- tumor medicine to the digest way glue a film have already injured a function, often express for the anorexia, disgusted, vomit, diarrhea etc. stomach and intestines way reaction.If the fluorine wets Mi Ding and AN ammonia Die the purine can cause multifarious diarrhea, even then blood.Majority of patients used medicine reaction for the first time more heavy, will ease gradually hereafter.In the applied anti-cancer medicine process, concern the circumstance of taking a meal of patient, give and easily digest the simple elegance food of the little grease.Become more heavy to medicine reaction proper arrangement before sleeping or the after meal is used a medicine, in order to prevent the influence take a meal.Vomit a serious is many meals in response to the little food, repair a liquid when it's necessary.Assist to cure by pinprick in the meantime, take enough three insides and match caves, such as valley and song pond...etc. to contain certain function towards easing a stomach and intestines way responding.The close observation vomits the property of thing, stomachache and has a bowel movement circumstance, stay the bowels mirror check when it's necessary, in order to handle in time.
2.The marrow represses majority of anti- tumors the medicine all have the marrow of different degree to repress side effect, such as Mali orchid, and wreath Lin Mao An...etc. all can to the white cell descend, but from dint mildewed vegetable and fill to wait to easily cause blood platelets' descending for the Mao, and along with medicine increment for measuring, can make whole blood decrease, even cause a reborn obstacle anemic.Strictly carry out an operation without the germ technique while carrying on an operation to the patient of tumor, and notice patient body temperature variety, prevention after hair infection, check blood elephant 1~2 times every week, be white cell is lower than 3.0 the ×s are 109 Ls, the blood platelets is lower than 8.0 × 109 Ls need to pause to the medicine, give to increase the blood a medicine, and strengthen nourishment.The white cell is lower than 1.0 × 109 Ls, need to carry on protecting sex insulation.Should not inject to the serious repressor of blood platelets.The attention prevent°froes a skin damaged, observe a skin not to have no Yu spot, issue of blood to order, have have no gum issue of blood, nose Nyu and blood in urine and then blood etc. symptom.Observe the life body advertises for of variety, listen to the patient's lord to tell, and make an effort to clean the inducement that may cause internal bleeding.The property that vomits a thing and the bowels to the sufferer attention observation of digest way issue of blood coughs blood a patient and records amount of blood and color towards spitting blood and.
3.The skin glues the damage of film because tumor sufferer the immunity dint is more lowly than normal person, the chemotherapy patient often easily appears a Varicella-Zoster virus, general is a single side, follow nerve to distribute, the companion contains low heat, the partial skin symptoms, such as scorching hot feeling and the hair nerve violent ache...etc..Any application can cause the anti- tumor that the skin blazes medicine, should in advance tell a patient, and instruct a patient and discover skin unusually wants to report a medical personnel in time, as far as possible don't scart to grasp, the in order to prevent is infected after the hair.The part can be washed or invited dermatologist help diagnosis processing with a heat of sweet stone.Some medicine eliminates Anne's(Mali orchid) etc. to cause dye such as the AN ammonia Die purine, white calm and steady.It is even universal to take off when the applied alkane turns hair.Take off to deliver the pair being the most distress for patient to respond of a, can prepare false hair while taking off a bald-headed crest.The anti- metabolizes the medicine especially big amount of applied often cause mouth cavity to glue film reaction, performance for the Chong blood, dropsy, burning disease and ulcer form, can use just the right amount of folic acid slice or intravenous injection folic acid control, light is used 1:200 folic acid aquas gargle then.Use mildewed vegetable or the Bo Lai mildewed plain to of mouth cavity burning should stop a medicine, such as merger the fungi infection can be gargled with 3% baking soda aquas and counteract to make plain 100,000 Uses of fungisthe ml contain Shu.To heavy degree the mouth cavity blaze sufferer, should make germ development and medicine quick experiment, in order to prescribe medicine for specific ailment.Ulcerate noodles tin spread or the ice Peng spread.Counteract 2% benefits many cards relieve pain because of spraying fog.
4.The liver, kidney and heart lung injures because of majority of anti- tumors medicine to excrete from the urine moderates gall, the medicine that hasn't combined with white egg white all from the kidney small ball percolation.Consequently should prevent°from toxicity reaction.C card Ba Pian(A Xia Pian) can cause poisoned sex hepatitis.Mildewed vegetable etc. antibiotics and metal medicine can cause the abnormality of electrocardiogram.The Bo Lai mildewed vegetable can cause "chemistry lung" and fiber lung.So when chemotherapy period especially uses the wreath Lin Mao An the Zhu is patient's many drinkings and make to wet liquid dilution.Use a big quantity AN ammonia Die the purine can differ because of its metabolism outcome dissolubility and easily form yellow sediments in the acidity environment, should just the right amount take baking soda with the alkalescence that keeps to wet a liquid.To record for 24 hours urine quantity, if go into quantity normal but urine the young, can consider usage diuretic, and periodical monitor liver function.Applied Bo Lai mildewed vegetable, the attention observes the patient's lung function and periodically makes a X line check, the using of medicine's medicine quantity and vice- reaction often become a direct proportion, therefore the nurse has to understand the distance of treating of patient and use the medicine amount of backlog, exaltation vigilance, the observation includes have no lung function not whole symptoms and body advertise for to appear.
5.The immunity suppresses majority of anti- tumors the medicine all have repressing of different degree function to the immunity dint of the machine body.Use a period because of the descending of immunity function, often make the patient erupt to be infected, bleed or have a skin rash.To notice an observation condition to turn into strengthen a foundation nursing, especially notice prevention and observation to understand meeting private parts and vagina and other easily the part of infection happen, clinical up often choose 1:5000 high potassium manganate aquas sit a bath to cure and prevent°from.
The observation and prevention of chemotherapy medicine reaction
3.10.2009
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