DRUG STUDY

NAME OF PATIENT :

A.R.C.

Age ____52______ Sex ____F_______ Civil Status ________M____ Nationality: ____Fil._______

Occupation ______HW_______

Date of Admission _________8/1/2016______ Chief Complaint / Diagnosis: Invasive Ductal Carcinoma

Brief History

Generic & Brand

Name

Generic Name:
Docetaxel
Brand Name:
Taxotere

Frequency & Route

Frequency:
60-100 mg/m2 IV
infusion for 1hr every
3 weeks
Route:
Intravenous

Classification

Antineoplastic

Action / Uses

Promotes formation
and stabilization of
nonfunctional
microtubules. This
prevents mitosis and
lead to cell death.

Contraindications &
Precautions

Neutrophil counts
<1,500 cells/mm3.
Severe hypersensitivity
to Docetaxel.

667 F.T. Dalupan Sr. St., Sampaloc, Manila Philippines

www.marychilescollge.edu.ph / marychilescollege@gmail.com
Tel. 711 - 4233, 735-5341 to 45

Side Effects

Hematological effects,
febrile neutropenia,
hypersensitivity
reaction, fluid retention,
neurosensitivity
symptoms, GI effects,
alopecia, infusion site
reaction.

Nursing
Consideration /
Patient Teaching
Use cautiously in
patients with impaired
bone marrow function.
Anticipate need for
blood transfusion to
combat anemia.
Therapeutic effects
are commonly
accompanied by
toxicity. Monitor CBC
and platelet count.
Tell pt to watch for
evidence of infection
and bleeding.
Tell pt to avoid OTC
products contain
aspirin NSAIDs.
Advise pt to avoid
sunlight and sunlamps
for first 2 days after
treatment.

DRUG STUDY

Generic & Brand

Name

Generic Name:
Doxorubicin
Hydrochloride
Brand Name:
Adriamycin

Frequency & Route

Frequency:
60-75 mg/m3 IV as
single dose q 3 weeks
Route:
Intravenous

Classification

Antineoplastic

Action / Uses

May interfere with

DNA-dependent RNA
synthesis by
intercalation.

Contraindications &
Precautions
Patient who have
marked
myelosuppression
induced by previous
chemotherapy or radio
therapy and those
have already received
cumulative doses of
anthracyclines,
preexisting heart
disease.

667 F.T. Dalupan Sr. St., Sampaloc, Manila Philippines

www.marychilescollge.edu.ph / marychilescollege@gmail.com
Tel. 711 - 4233, 735-5341 to 45

Side Effects

Myelosuppression,
atrial and ventricular
dysrhythmias, toxic
myocarditis,
cardiopathy, reversible
complete alopecia,
hyper generation of
nail buds. Acute
nausea and vomiting,
fever, chills
phlebosclerosis

Nursing
Consideration /
Patient Teaching

Cardiac function
studies, including ECG.
Take preventive
measures.
Monitor CBC with
differential and hepatic
function test.
Advise pt to report
any pain or burning site
of injection during or
after administration.
Advise pt signs and
symptoms of infection
and bleeding.
Advise pt that orange
to red urine for 1 to 2
days is normal and
doesnt indicate
presence of blood.
Inform pt that
alopecia may occur but
its usually reversible.
Hair may grow 2 to 5
months after drug is
stopped.

Generic & Brand

Name

Frequency & Route

Generic Name:
Dexamethasone

Frequency:
4 mg/1 tab, 2 tabs BID

Brand Name:
Dexone

Route:
Per orem

Classification
Corticosteroids

Action / Uses
Not clearly defined.
Decreases
infalammation, mainly
by stabilizing leukocyte
lysosomal membranes;
suppresses immune
response; stimulates
bone marrow; and
influences protein, fat,
and carbohydrate
metabolism.

Contraindications &
Precautions
Contraindicated in
patients hypersensitive
to drug or its
ingredients and in
those with systemic
fungal infections.

667 F.T. Dalupan Sr. St., Sampaloc, Manila Philippines

www.marychilescollge.edu.ph / marychilescollege@gmail.com
Tel. 711 - 4233, 735-5341 to 45

Side Effects
Insomnia, heart
failure, hypertension,
peptic ulceration,
hypokalemia,
hyperglycemia, fatigue,
weakness fever,
thrombophlebitis

Nursing
Consideration /
Patient Teaching
Use with extreme
caution in pt with
recent MI.
Determine wether pt
is sensitive to
corticosteroids.
Monitor pts weight,
blood pressure, and
electrolytes.
Tell pt not to stop
abruptly without
prescribers consent.
Instruct pt to take
food or milk.
Warn pt about easy
bruising.
Advise pt to avoid
exposure to infection.