Cisplatin is an antineoplastic drug that inhibits DNA synthesis, causing cross-linking of parent DNA strands and death of rapidly replicating cells. It is indicated for metastatic testicular and ovarian carcinoma, advanced bladder cancer, head and neck cancer, cervical cancer, lung cancer, and other tumors. Common side effects include nausea, vomiting, diarrhea, nephrotoxicity, ototoxicity, alopecia, hypocalcemia, hypokalemia, hypomagnesemia, leukopenia, thrombocytopenia, anemia, and peripheral neuropathy. Nurses monitor for side effects, ensure adequate hydration and electrolyte replacement, and assess the IV site frequently during administration.
Cisplatin is an antineoplastic drug that inhibits DNA synthesis, causing cross-linking of parent DNA strands and death of rapidly replicating cells. It is indicated for metastatic testicular and ovarian carcinoma, advanced bladder cancer, head and neck cancer, cervical cancer, lung cancer, and other tumors. Common side effects include nausea, vomiting, diarrhea, nephrotoxicity, ototoxicity, alopecia, hypocalcemia, hypokalemia, hypomagnesemia, leukopenia, thrombocytopenia, anemia, and peripheral neuropathy. Nurses monitor for side effects, ensure adequate hydration and electrolyte replacement, and assess the IV site frequently during administration.
Cisplatin is an antineoplastic drug that inhibits DNA synthesis, causing cross-linking of parent DNA strands and death of rapidly replicating cells. It is indicated for metastatic testicular and ovarian carcinoma, advanced bladder cancer, head and neck cancer, cervical cancer, lung cancer, and other tumors. Common side effects include nausea, vomiting, diarrhea, nephrotoxicity, ototoxicity, alopecia, hypocalcemia, hypokalemia, hypomagnesemia, leukopenia, thrombocytopenia, anemia, and peripheral neuropathy. Nurses monitor for side effects, ensure adequate hydration and electrolyte replacement, and assess the IV site frequently during administration.
Cisplatin is an antineoplastic drug that inhibits DNA synthesis, causing cross-linking of parent DNA strands and death of rapidly replicating cells. It is indicated for metastatic testicular and ovarian carcinoma, advanced bladder cancer, head and neck cancer, cervical cancer, lung cancer, and other tumors. Common side effects include nausea, vomiting, diarrhea, nephrotoxicity, ototoxicity, alopecia, hypocalcemia, hypokalemia, hypomagnesemia, leukopenia, thrombocytopenia, anemia, and peripheral neuropathy. Nurses monitor for side effects, ensure adequate hydration and electrolyte replacement, and assess the IV site frequently during administration.
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SIDE EFFECTS AND ADVERSE
DRUG MECHANISM OF ACTION INDICATION NURSING ACTION
EFFECTS Inhibits DNA synthesis by Metastatic testicular and CNS: SEIZURES, malaise, Monitor vital signs frequently producing cross-linking of ovarian carcinoma. Advanced weakness. during administration. Report EENT: ototoxicity, tinnitus. parent DNA strands (cell-cycle bladder cancer. Head and GENERIC NAME: GI: severe nausea, vomiting, significant changes cisplatin phase—nonspecific). neck cancer. Cervical cancer. diarrhea, hepatotoxicity. Therapeutic Effects: Death of Lung cancer. Other tumors. GU: nephrotoxicity, sterility. Monitor intake and output and Derm: alopecia. rapidly replicating cells, specific gravity frequently BRAND NAME: F and E: hypocalcemia, Platinol particularly malignant ones. during therapy. hypokalemia, hypomagnesemia. Hemat: LEUKOPENIA, THROMBOCYTOPENIA, anemia. Report discrepancies DRUG CLASSIFICATION: Local: phlebitis at IV site. immediately. Antineoplastics Metab: hyperuricemia. Neuro: peripheral neuropathy. Encourage patient to drink Misc: anaphylactoid reactions. 2000– 3000 mL/day to CONTRAINDICATION INTERACTIONS Hypersensitivity; Orally disintegrating Drug-Drug: risk of nephrotoxicity and promote excretion of uric acid.
tablets contain aspartame and ototoxicity with other nephrotoxic and
Assess patency of IV site should not be used in patients with ototoxic drugs (aminoglycosides, phenylketonuria; loop diuretics).risk of hypokalemia frequently during therapy.
and hypomagnesemia with loop
Monitor amount of emesis diuretics and amphotericin B.
Maypphenytoin levels. bone marrow and notify health care
depression with other antineoplastics professional if emesis
or radiation therapy. May antibody exceeds guidelines to prevent