Fundamentals of Chemotherapy Immunotherapy Administration _ Questions And Answers<\/p>\n\n\n\n
Fundamentals of Chemotherapy Immunotherapy Administration _
Questions And Answers
Hematologic cancer (blood cancer) Correct Ans \u27a1 -cancer that begins in bone
marrow or immune system cells.
-Ex: leukemia, lymphoma, multiple myeloma
Leukemia Correct Ans \u27a1 cancer starts in blood-forming tissues like bone
marrow
-causes lots of abnormal blood cells to be produced and enter bloodstream
Lymphoma Correct Ans \u27a1 -cancer that begins in immune system
(WBC=lymphocytes)
-hodgkin and non-hodgkins
-B lymphocytes (B cells) – make antibodies (bacteria and viruses, most common
lymphoma
-T lymphocytes (T cells) – boost\/slow immune, destroy germs and abnormal cells
Hodgkin lymphoma Correct Ans \u27a1 Reed-Sternberg cell (cancer cells in classic)
-typically starts in B cells
Non-Hodgkin’s Lymphoma Correct Ans \u27a1 -large, diverse group of cancers in
immune system cells
-indolent (slow growing) or aggressive (fast)
Myeloma Correct Ans \u27a1 Cancer in plasma cells (WBC that produce antibodies)
Chemotherapy Correct Ans \u27a1 All antineoplastic agents used to treat cancer,
given through oral and parenteral routes or other routes as specified in the standard,
not including hormonal therapies.
Who can order chemotherapy? Correct Ans \u27a1 Written and signed by licensed
independent practitioners (MD\/DO, PA, Oncology NP)
Can you use verbal orders for chemotherapy? Correct Ans \u27a1 NO! Only when
holding\/stopping admin.
Who can mix Chemotherapy? Correct Ans \u27a1 Pharmacist, Pharmacy tech,
MD\/DO, qualified RN
Who can administer chemotherapy? Correct Ans \u27a1 Registered Nurses with
specialized education, prep and training. See specific state laws and statutes
How often is chemo competency reassessed> Correct Ans \u27a1 Annual continuing
ed and competency assessment is recommended<\/p>\n\n\n\n
What is the dose verification process? Correct Ans \u27a1 -confirm plan with patient
-two practitioners verify: drug name, dose, volume, rate, route, expiration date,
appearance
-document verification in chart
What PPE is required for IV Chemotherapy? Correct Ans \u27a1 -Gloves: two pairs,
HD tested
-Gown: disposable, back closed, long sleeved
-Respirator: NIOSH approved
-Eye & Face: face shield\/mask
Neoadjuvant therapy (tumor burden) Correct Ans \u27a1 Chemo BEFORE primary
treatment (common in breast and colon)
Adjuvant therapy Correct Ans \u27a1 Chemo AFTER primary treatment (common in
solid tumor)
Bone Marrow Correct Ans \u27a1 soft, sponge-like tissue in center of most bones,
produce WBC, RBC, and platelets.
Myelosuppression Correct Ans \u27a1 bone marrow activity is decreased, causing
less RBC, WBC and Platelets.
Myeloablation Correct Ans \u27a1 severe myelosuppression
Induction phase Correct Ans \u27a1 initial phase, typically in hospital, intended
myelosuppression
Consolidation phase (intensification\/postremission therapy) Correct Ans \u27a1 after
successful induction, kills cancer cells left in body (ex radiation, stem cell transplant)
Synergy Correct Ans \u27a1 when one chemo drug helps another work better at the
same time
Complete response Correct Ans \u27a1 no identifiable cancer present for at least
one month or longer
Partial response Correct Ans \u27a1 Measurable tumor reduced by 50% for at least
one month with no new tumors
Stable disease Correct Ans \u27a1 Tumor size reduced by less than 50% or less than
25% increase in growth
Progressive disease Correct Ans \u27a1 tumor growth more than 25% or new cancer
What are the phases of the cell cycle? Correct Ans \u27a1 -G1 phase
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