COLLEGE OF NURSING

1st Semester S.Y. 2021 – 2022

Name:_______________________ Date:_____________
Year/Section:_________________ Score:____________

TEACHING PLAN
Topic: Anticancer Drug
Gen. Objective: To develop a focused teaching plan on the uses and side effects of anticancer drugs.

Specific Objectives Learning Outcomes Teaching Learning Time Resources Evaluation Parameters
Activities allotment
After 30 minutes of health teaching the Pre-activity and Question and Answer
patient will be able to: Introduction of self
1. Recognize how fluorouracil, How does fluorouracil, Lecture discussion 3 minutes Pamphlet State how fluorouracil, epirubicin,
epirubicin, and cyclophosphamide epirubicin, and and cyclophosphamide works.
act in treatment.  cyclophosphamide act in
treatment:
 Fluorouracil is a type of
antimetabolite.
Antimetabolites kill
cancer cells by acting as
false building blocks in a
cancer cell's genes,
causing the cancer cell
to die as it prepares to
divide. Fluorouracil, in

2. Enumerate most of the side effects
that are often predictable in terms
of their onset duration and severity.
essence, prevents cells
from producing DNA and
may therefore kill cancer
cells.
 Epirubicin belongs to the
anthracycline class of
medications. It works by
slowing or stopping
cancer cell growth in the
body.
 Cyclophosphamide
belongs to a class of
drugs known as
alkylating agents. When
used to treat cancer,
cyclophosphamide works
by slowing or stopping
the growth of cancer
cells in your body.
Common side effects of Lecture discussion 8 minutes Pamphlet List at least 3 to 5 common side
Fluorouracil: effects per medication.
 Diarrhea
 Nausea and possible
occasional vomiting
 Mouth sores
 Poor appetite
 Water eyes, sensitivity to
light
 Taste changes into
metallic tase in mouth
during infusion
 Discoloration along vein
 through which the
medication is given
Common side effects of
Epirubicin:
 Black, tarry stools
 Bleeding, redness, or
ulcers in the mouth or
throat
 Chest pain
 Cough or hoarseness
 Fever
 Lower back or side pain
 Pain or burning in the
mouth or throat
 Painful or difficult
urination
 Sore throat
 Sores, ulcers, or white
spots in the mouth or on
the lips
 Swollen glands
 Trouble breathing
 Unusual bleeding or
bruising
 Unusual tiredness or
weakness
Common side effects of
Cyclophosphamide:
 Nausea
 Vomiting
 Loss of appetite or

3. Verbalize understanding that just
because a side effect is common
does not mean it is not serious.
4. Describe appropriate actions when
experiencing common and
uncommon side effects or adverse
effects while undergoing therapy.
weight
 Abdominal pain
 Diarrhea
 Hair loss
 Sores on the mouth or
tongue
 Changes in skin color
 Changes in color or
growth of finger or toe
nails.
“Some side effects are Open discussion 1 minute Pamphlet Is it true that a common side
common, but that doesn't effect does not imply that it is
mean they aren't serious or serious?
threatening”
Fluorouracil: Discussion 15 minutes Pamphlet State at least 3 to 5 appropriate
actions when experiencing
 The use of ice chips in common and uncommon side
the mouth 10-15 minutes effects while undergoing therapy.
before and after IV
Fluorouracil injections
may reduce the
occurrence and severity
of mouth sores.
 To treat/prevent mouth
sores, use a soft
toothbrush and rinse
three times per day with
1/2 teaspoon baking
soda and/or 1/2
teaspoon salt mixed with
8 ounces of water.
 Every 24 hours, drink at
least two to three quarts
 of fluid.
 You may be at risk of
infection, so avoid
crowds and people who
have colds or are ill, and
report fever or any other
signs of infection to your
health care provider right
away.
 Follow the anti-diarrhea
medication regimen
prescribed by your
health care provider.
 Consume foods that may
aid in the relief of
diarrhea.
 Avoid getting too much
sun. Wear sunblock with
an SPF of 30 or higher
and protective clothing.
 Drinking alcoholic
beverages should be
kept avoided completely.
 Get plenty of rest.
 Maintain healthy diet.
 Gentle exercise, such as
a daily walk, is
encouraged.
 Using emollients, keep
the palms of your hands
and the soles of your
feet moist.
 Avoid driving or

5. Verbalize understanding regarding
the ramifications of doing the things
that should be avoided while on
therapy.
engaging in tasks that
require alertness.
 If you have unusual
bruising, bleeding, a
decrease or change in
urine amount, joint pain,
stiffness, or swelling,
lower back, side, or
stomach pain, rapid
weight gain, swelling of
the feet or lower legs, or
unusual tiredness or
weakness, or any side
effects that is
threatening, contact your
doctor right away.
 Exhaustion Open Discussion 3 minutes Pamphlet What are the consequences of
 Infection doing things that should be
 Stress on liver avoided while on therapy?
 Burning and skin
reactions

Reference:
Cyclophosphamide. (n.d.). Medline plus. https://medlineplus.gov/druginfo/meds/a682080.html
Epirubicin. (n.d.). Medline Plus. https://medlineplus.gov/druginfo/meds/a603003.html#:~:text=Epirubicin%20is%20used%20in%20combination,cancer
%20cells%20in%20your%20body.
Epirubicin. (n.d.). Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/epirubicin-intravenous-route/side-effects/drg-20063685?p=1
Fluorouracil. (n.d.). Breast Cancer Org. https://www.breastcancer.org/treatment/druglist/fluorouracil
Fluorouracil Side Effects. (n.d.). Drugs.Com. https://www.drugs.com/sfx/fluorouracil-side-effects.html