GERD Medications May Affect Absorption of Oral Chemotherapeutic Agents

GERD Medications May Affect Absorption of Oral Chemotherapeutic Agents

What is the interaction between oral chemotherapy and GERD medicines?

Managing IRAEs in Patients Receiving Checkpoint Inhibitors

Managing IRAEs in Patients Receiving Checkpoint Inhibitors

How should side effects of the new checkpoint inhibitor drugs be managed?

Administering Mannitol With Hydration and Premeds

Administering Mannitol With Hydration and Premeds

At my current clinic, hydration and mannitol are administered before premedications on a cisplatin regimen; at previous clinic, premeds and hydration were administered before mannitol. Does it make a difference?

Factors That Determine Sequence of Administration for Multiple Chemotherapeutic Agents

Factors That Determine Sequence of Administration for Multiple Chemotherapeutic Agents

Chemotherapy agents are sometimes required to be administered in a specific sequence. What factors influence the need to follow a specific sequence?

Flushing the Line Between Medications in IV Administrations of Multiple Agents

Flushing the Line Between Medications in IV Administrations of Multiple Agents

What factors should be considered when calculating an adequate postmedication flush to deliver complete, accurate doses of small-volume IV medications to our patients?

Using Olanzapine as an Antiemetic for Patients Undergoing Moderate or High-Emetic Risk Chemotherapy

Using Olanzapine as an Antiemetic for Patients Undergoing Moderate or High-Emetic Risk Chemotherapy

Some of our patients receive olanzapine (Zyprexa) as an antiemetic. Is this a typical use of this drug?

Advice for Patients With CML Traveling While On Oral Chemotherapy

Advice for Patients With CML Traveling While On Oral Chemotherapy

During the summer, many patients with CML who are taking oral chemotherapy drugs have questions about taking their drugs while traveling. What advice can we give them regarding this?

Monoclonal Antibody Is a New Option for Patients With Multiple Myeloma

Monoclonal Antibody Is a New Option for Patients With Multiple Myeloma

What is the new drug called Empliciti and how does it differ from other drugs used to treat multiple myeloma?

Bone Pain Due to White Blood Cell Growth Factors

Bone Pain Due to White Blood Cell Growth Factors

How is loratadine used to treat bone pain in patients receiving white blood cell growth factors?

Understanding Drug Naming Nomenclature

Understanding Drug Naming Nomenclature

Why do the antibody drugs have such long names?

Perspectives on Being an Oncology Nurse

Perspectives on Being an Oncology Nurse

How do you define being an oncology nurse? Read what your colleagues have to say, then send us your perspective.

Data Lacks Support for Anticancer Activity of Cannabis

Data Lacks Support for Anticancer Activity of Cannabis

Patients periodically ask about the use of marijuana in cancer treatment. Is there any data about this?

Handling Closed System Device-Incompatible Chemotherapy Agents

Handling Closed System Device-Incompatible Chemotherapy Agents

How can accidental exposure/leaks when handling chemotherapy drugs that incompatible with the closed system device (CSD) be prevented?

FOLFIRINOX Regimen Sequence

FOLFIRINOX Regimen Sequence

What is the correct sequence for infusing FOLFIRINOX?

Managing TSH Levels After Total Thyroidectomy

Managing TSH Levels After Total Thyroidectomy

What would be the ideal TSH level for patients after total thyroidectomy for cancer of the papillary thyroid?

What are Immune Checkpoints and How Do They Work?

What are Immune Checkpoints and How Do They Work?

What is a simple explanation of immune checkpoints and how they work?

Port functionality with irinotecan administration

Port functionality with irinotecan administration

Subcutaneous power ports seem to rarely function properly when administering irinotecan but function properly when the regimen changes. Is there an explanation for why this happens?

Standard IV administration of KCL

Standard IV administration of KCL

Is there a standard process for administering KCL through an IV?

Appropriate use of tomosynthesis mammography

Appropriate use of tomosynthesis mammography

With the availability of tomosynthesis mammography, should women at high risk for developing breast cancer still undergo annual MRI?

Likelihood of lung cancer screening update

Likelihood of lung cancer screening update

What is the likelihood we will soon see an update to the recommendations for lung cancer screening?

Hydration regimens for cisplatin

Hydration regimens for cisplatin

Is there evidence to support adding potassium magnesium and mannitol to the hydration regimens for cisplatin?

Optimal nurse:patient ratio for patients on IL-2

Optimal nurse:patient ratio for patients on IL-2

What is the best practice recommendation for nurse-to-patient ratio for patients receiving IL-2?

Efficacy of Cathflo at suggested volume

Efficacy of Cathflo at suggested volume

Given reservoir volume and catheter length, 2.2 mL of Cathflo does not seem to be enough volume to reach the tip, thus the sheath/clot. Are there any reports of using larger volumes?

Personal protective equipment (PPE) guidelines for handling monoclonal antibodies (MABs)

Personal protective equipment (PPE) guidelines for handling monoclonal antibodies (MABs)

Is there a new consensus about wearing personal protective equipment (PPE) when handling monoclonal antibodies (MABs) for infusion?

Purity of herbal supplements

Purity of herbal supplements

The purity of herbal supplements has been questioned. How should one advise patients interested in using these products?

Using the Prescribing Information (PI) on drugs effectively

Using the Prescribing Information (PI) on drugs effectively

How can clinicians be more informed about the carcinogenicity of drugs they prescribe?

Use of Pharmacokinetics to Measure Response in CML

Use of Pharmacokinetics to Measure Response in CML

What data are available concerning inter- and intrapatient variability in the pharmacokinetics of TKIs in chronic myeloid leukemia?

Affect of chemotherapy on saliva test results

Affect of chemotherapy on saliva test results

Do cancer treatments alter alleles affecting saliva, thus rendering a Genecept Assay null and void?

Ideal infusion rate for maintaining hydration

Ideal infusion rate for maintaining hydration

In an outpatient cancer infusion center providing IV hydration, is a longer infusion time better for the patient?

Finding a qualified acupuncture practitioner

Finding a qualified acupuncture practitioner

How can patients find a qualified acupuncture practitioner who understands the needs of oncology patients?

Hair dye use during chemotherapy

Hair dye use during chemotherapy

Is it safe to use hair dyes concurrently with chemotherapy?

Assessing patency of an implanted port

Assessing patency of an implanted port

How should a fibrin overgrowth on an internal catheter be managed when there is no blood return from the implanted port?

Maximum tolerated doses of gemcitabine

Maximum tolerated doses of gemcitabine

How much more toxicity and myelosuppression has been associated with gemcitabine (Gemzar) when it is infused over periods longer than 30 minutes?

Comparison of medications for managing anxiety

Comparison of medications for managing anxiety

Is a comparison guide for common medications used for side-effect management, such as constipation, nausea, anxiety, etc. that includes a cost comparison available?

Managing oral side effects of irinotecan therapy

Managing oral side effects of irinotecan therapy

Is there an effective way to manage the oral side effects of irinotecan therapy?

Reducing side effects of everolimus administration

Reducing side effects of everolimus administration

Are there tips nurses can share with patients on avoiding oral therapy-related side effects associated with drugs such as everolimus?

Comparison of medications for managing nausea and vomiting

Comparison of medications for managing nausea and vomiting

Is a comparison guide for common medications used for side-effect management, such as constipation, nausea, anxiety, etc. that includes a cost comparison available?

Comparison of constipation management medications

Comparison of constipation management medications

Information on prescription, over-the-counter (OTC), and consumer products for managing constipation.

Vaginal lubricant options for women with hormone-receptor positive (HR+) cancer

Vaginal lubricant options for women with hormone-receptor positive (HR+) cancer

What vaginal lubricants are available for for women with hormone-receptor positive (HR+) cancer?

Polyphenols in green tea may interfere with this cancer therapy

Polyphenols in green tea may interfere with this cancer therapy

What is the rationale for why a patient on bortezomib (Velcade) therapy should avoid green tea?

Importance of sequence in chemotherapy administration

Importance of sequence in chemotherapy administration

Is sequencing important when administering chemotherapy on the same day?

Impact of vitamins, supplements, and diet on cancer treatment-related hair loss

Impact of vitamins, supplements, and diet on cancer treatment-related hair loss

Can vitamins or supplements help address hair loss caused by cancer therapy?

Reconstituting nab-paclitaxel

Reconstituting nab-paclitaxel

Is there a good reason to mix nab-paclitaxel (Abraxane) with warm (not cool) normal saline when reconstituting?

Efficacy of half-strength chemotherapy

Efficacy of half-strength chemotherapy

Is there any benefit to half-strength chemotherapy given to patients experiencing side effects from the drug or due to decreased functional status?

Vitamin B can ease peripheral neuropathy symptoms

Vitamin B can ease peripheral neuropathy symptoms

Is there any truth to the theory that vitamin B6 helps with chemotherapy-induced neuropathy?

New G-CSF approved in Europe, in clinical trials in the U.S.

New G-CSF approved in Europe, in clinical trials in the U.S.

I am hearing there is a new granulocyte colony-stimulating factor (G-CSF) coming out on the market. What can you tell us about this product?

Management of chemotherapy-induced nausea and vomiting (CINV)

Management of chemotherapy-induced nausea and vomiting (CINV)

Could a medication indicated for nausea and vomiting in pregnancy resolve the same symptoms in patients undergoing chemotherapy?

Indications for pazopanib

Indications for pazopanib

Is pazopanib (Votrient) approved for the treatment of leiomyosarcoma?

Standard of care for delivering bisphophonates

Standard of care for delivering bisphophonates

What is the preferred delivery protocol for breast cancer adjuvant bisphosphonates?

Diarrhea management in patients with rectal cancer

Diarrhea management in patients with rectal cancer

What are the best forms of management for diarrhea in patients with rectal cancer?

A career change to radiation oncology nursing

A career change to radiation oncology nursing

What is the best approach to learning more about the field of Radiation Oncology?

Is gallbladder cancer inherited?

Is gallbladder cancer inherited?

What is the familial incidence of gallbladder cancer?

Hepatocellular carcinoma with no cirrhosis

Hepatocellular carcinoma with no cirrhosis

What is currently known about stage IV well-differentiated liver cancer with no cirrhosis?

Optimal dosing for TMZ: 1 hour prior to RT versus bedtime

Optimal dosing for TMZ: 1 hour prior to RT versus bedtime

Is there a difference in dosing (1 hour prior to radiotherapy vs bedtime) with temozolomide plus radiotherapy for glioblastoma multiforme?

Impact of drug substitution on overall cancer survival

Impact of drug substitution on overall cancer survival

How does substitution of chemotherapy agent affect the overall survival rate of oncology patients?

Pain management in patients with low BP

Pain management in patients with low BP

When a patient's blood pressure is low, pain medications are often withheld. How is this situation best managed?

Nail care tips for patients undergoing chemotherapy

Nail care tips for patients undergoing chemotherapy

Are there any evidence-based practices for managing changes to nails during chemotherapy?

Advocating for treatment of anticipatory reactions

Advocating for treatment of anticipatory reactions

What can nurses do to advocate for the use of medications such as lorezepam (Ativan) for anticipatory nausea when the physician is reluctant to prescribe antianxiety or sleep medications?

Protocols for concomitant infusions in the same IV line

Protocols for concomitant infusions in the same IV line

What is the protocol for using the same intravenous line for concomitant infusions of IV chemotherapy drugs with other IV medications?

Delivery order in IV/IP chemotherapy administration

Delivery order in IV/IP chemotherapy administration

Oncology nurses are taught to always administer platinums before taxanes for IV chemotherapy regimens; does this still hold true when the taxane is ordered IV, and the platinum is ordered IP?

How to manage myoclonus in patients on high-dose opioids

How to manage myoclonus in patients on high-dose opioids

How should myoclonus be managed in patients taking high-dose opioids?

Some port maintenance outside the scope of nursing practice

Some port maintenance outside the scope of nursing practice

Is it within a nurse's scope of practice to flip a port over with a physician's order?

Using methotrexate in children

Using methotrexate in children

Why do children with Down syndrome who are being treated for acute lymphocytic leukemia sometimes require oral leucovorin after intrathecal methotrexate administration?

Special precautions when using methadone for pain

Special precautions when using methadone for pain

I see more patients being prescribed methadone (Dolophine, Methadose, generics) for pain. How is methadone different from other opioids, and what special precautions should I be aware of?

Moist desquamation in large-chested women

Moist desquamation in large-chested women

Many larger-chested women develop moist desquamation under their breasts and are treated with Domeboro solution and air exposure. Are there any better methods for treating this condition?

Creating effective navigation tools for patients

Creating effective navigation tools for patients

What are the characteristics of successful navigation tools for patients?

Cancer patients using cocaine

Cancer patients using cocaine

I have a patient with cancer who is actively using cocaine. We will do random urine screens on this patient. How long does cocaine remain in the urine?

Specialty pharmacies and cancer care

Specialty pharmacies and cancer care

Where does the use of specialty pharmacies fit into cancer care?

Infusion times for rituximab

Infusion times for rituximab

Other oncology nurses have mentioned to me that they infuse rituximab (Rituxan) over 90 minutes. Are there references for this?

Anemia in patients with MDS

Anemia in patients with MDS

Managing anemia in patients with myelodysplastic syndrome (MDS) is complex. When are erythroid growth factors used as primary treatment?

Smoking while on chemotherapy

Smoking while on chemotherapy

What is the impact of nicotine use on the efficacy of chemotherapy? What information is important to discuss with patients who continue to smoke while on chemotherapy?

Urinalysis in patients receiving alkylating agents

Urinalysis in patients receiving alkylating agents

Why are ketones present in urinalysis results when patients are receiving ifosfamide or cyclophosphamide?

Lab tests for anemic patients

Lab tests for anemic patients

In following patients with anemia, what do the lab values for iron, ferritin, transferrin, and TIBC (total iron binding capacity) tell me?

Survivorship care planning

Survivorship care planning

Do nurses participate in survivorship care planning?

Treating low immunoglobulin levels

Treating low immunoglobulin levels

When is it necessary to treat a patient with low immunoglobulin levels?

Counseling male adolescents about sperm banking

Counseling male adolescents about sperm banking

What factors should I consider when counseling my male adolescent patients regarding sperm banking before starting cancer treatment?

Coping with compassion fatigue

Coping with compassion fatigue

Oncology nurses are exposed every day to so much pain and suffering. Any suggestions?

Weight gain in patients undergoing cancer treatment

Weight gain in patients undergoing cancer treatment

Everyone talks about weight loss during cancer treatments, but what about weight gain, especially during treatment for breast cancer?

Administering chemotherapy with no blood return

Administering chemotherapy with no blood return

What is the appropriate protocol for administering chemotherapy when there is no blood return from the implanted port?

The effects of pectin

The effects of pectin

Can pectin minimize side effects associated with radiation therapy, and how is it able to do so?

Use of MUGA scans before initiating treatment

Use of MUGA scans before initiating treatment

Oncology nursing literature states that a MUGA scan must be obtained prior to initiating cardiotoxic chemotherapies. When should the scan be obtained?

Administration of bortezomib using Palindrome dialysis catheter access

Administration of bortezomib using Palindrome dialysis catheter access

Is it within the RN scope of practice to administer bortezomib using Palindrome dialysis catheter access in a multiple myeloma patient?

Role of curcumin in radiation therapy

Role of curcumin in radiation therapy

Can curcumin (the main component of turmeric) help minimize side effects related to radiation therapy?

Inclusion of creatnine in blood work during carboplatin treatment

Inclusion of creatnine in blood work during carboplatin treatment

How soon should the creatinine be measured when dosing carboplatin (Paraplatin)?

Differentiating ionized calcium and calcium levels, and electrolyte therapy

Differentiating ionized calcium and calcium levels, and electrolyte therapy

What is the difference between ionized calcium (iCa) and calcium levels? How does this relate to electrolyte replacement?

Medicare guidelines for Aranesp and Procrit injections

Medicare guidelines for Aranesp and Procrit injections

What are the new Medicare guidelines for the administration of an epoetin alfa injection (Procrit) or a darbepoetin alfa injection (Aranesp)?

Hydration during cyclophosphamide administration

Hydration during cyclophosphamide administration

Should hydration be administered before all doses of cyclophosphamide (Cytoxan, Neosar) or just for high-dose Cytoxan?

Bevacizumab use and thromboembolic events

Bevacizumab use and thromboembolic events

Is bevacizumab (Avastin) use in patients with metastatic colorectal cancer (mCRC) or non-small cell lung cancer (NSCLC) related to a higher incidence of thromboembolic events?

Coping with chemo brain

Coping with chemo brain

What is chemo brain, and what can be done for it?

Addressing code status in patients with advanced cancer

Addressing code status in patients with advanced cancer

I am concerned about some of our patients with advanced cancer being full code. Is it within my scope to address this with patients, and if so, what is the best approach?

Chemotherapy agents and radiosensitivity

Chemotherapy agents and radiosensitivity

How do certain chemotherapy agents make tumors more radiosensitive?

Genotype testing not warranted

Genotype testing not warranted

Is CYP2D6 genotyping for tamoxifen (Nolvadex) sensitivity before use of the drug beneficial?

Speciality pharmacies and cancer care

Speciality pharmacies and cancer care

Where does the use of specialty pharmacies fit into cancer care?

Inclusion of creatinine in blood work during carboplatin treatment

Inclusion of creatinine in blood work during carboplatin treatment

How soon should the creatinine be measured when dosing carboplatin (Paraplatin)?

Dietary information for patients undergoing chemotherapy

Dietary information for patients undergoing chemotherapy

Is there an evidence-based booklet on cancer and diet available for patients undergoing chemotherapy? Is there any evidence that sugar causes cancer?

Ingredients to look for in a sunscreen

Ingredients to look for in a sunscreen

What are the two most important ingredients to look for in sunscreen?

Drug allocation during a shortage

Drug allocation during a shortage

What criteria are used at facilities to determine which patients receive drugs during an extreme drug shortage when only a limited supply is available within the facility? How is this issue communicated to patients, if at all?

Preserving fertility in cancer patients

Preserving fertility in cancer patients

What is the determining factor for preservation of fertility? Why can some women get pregnant after treatment and others cannot or do not? Is fertility preservation based on what chemotherapy one is receiving?

Vaccinations for cancer patients

Vaccinations for cancer patients

What vaccines are appropriate or not appropriate for cancer patients?

Role of the nurse navigator

Role of the nurse navigator

How do nurse or patient navigators make the continuum of cancer care easier to manage?

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