What? Are you kidding me?
Is it not enough that people
going through chemotherapy
are hit in those five areas of high
growth fraction cells, there's more?
Yeah, there really is.
Sometimes, you can give chemotherapy
to a patient to cure them of cancer
but it can knock out or kill,
severely damage their heart or their kidneys.
I had a very dear friend who had undergo
chemotherapy and she sadly died, cancer-free.
Because she had cured
her of the cancer
but the damage to her heart was so severe
that she could not surive that.
So keep in mind, chemotheraphy
comes with significant risks.
This invloves some pretty
between the healthcare provider, the
healthcare team and the patient.
So the patient can make an
We wish we knew who's gonna
suffer that kind of damage
but we can't alway predict who will.
Now another one that's not as obviously life
threatening or lethal is hyperuricemia.
Now that isn't bad of a deal
because that will give you gout.
Have you ever seen
somebody with true gout?
It's excruciatingly painful.
When my dad had gout, just walking
by his big toe made him hurt.
Just air currents on his feet
made him hurt.
So if they do develop a
hyperuricemia, that's these crystals
that start locking themselves into your joints,
making them swell and be extremely painful.
We can treat it with allopurinol.
Again, it really doesn't really hold a candle
to being toxic to your heart or your kidneys
but it's still not anything you'd
want a patient to have to go through.
Whoa! I'm gonna let you absorb
that picture for just a moment.
One of the additional toxicities
of cancer chemotheraphy
is if the chemotherapy should suffer some reason,
leak out of the vein and into the tissue.
That's what extravasation means.
Now, that is a really graphic
picture to help you understand
that there can be severe tissue
damage when that happens.
So it causes tissue necrosis and
this obviously has been cleaned out
but that is a really graphic
representation of what can happen.
Now we talked earlier that you know,
chemotheraphy can also be carcinogenic.
It can cause cancer in
addition to really damaging
important vessels, veins and organs
like your heart and kidneys.
So, I think it's time to
move on from that picture.
But hopefully, it will firmly
burn that into your memory
that you have to be very careful
about giving chemotherapy in a vein
which is why we most often use a port
that's implanted underneath the skin.
Now we don't just use cytotoxic drugs
to treat cancer.
You will also see these drugs
in patients who have arthritis.
We give it in much smaller doses.
So see, to give chemotherapy to patients
like real chemotherapy for cancer,
you have to have special certifications.
As a new nurse, you will never give
chemotherapy to levels we do to treat cancer.
You have to have a lot of experience and
you have to have specialized training
and become chemo certified.
But, you might give similar drugs
for someone who has arthritis.
Here's three examples of the types of
medications that are chemotherapy
but we give them in very small
doses to treat arthritis.
So you are likely to interact with patients who
receive these medications on a regular basis.
They don't suffer the same intense
side effects because again,
they're given in much smaller doses.
Now I'm gonna put some more
names up on the screen for you.
You'll see them appearing
I want you to just remind yourself, put a marker
in your notes to follow up on this later
because I want you to be familiar and recognize
that these are examples of cytotoxic drugs.
You will know everything you need to know
about these, but you know the basic things.
They go after five areas
of high growth fraction,
they're gonna have the same side
effects with what we've discussed
and I want you to recognize these drug
names as examples of cytotoxic drugs
used to treat chemotherapy
patients for cancer.