Cancer treatment and care interventions

By | October 8, 2011

Cancer treatment and care interventions
And nursing intervention of cancer is the X-ray and other equipment under the surveillance of the anti- cancer drugs or embolic agents via arterial catheter injection, direct treatment of tumor diseases, the recent involvement in the equipment continue to improve, interventional technology continues to improve, especially The widespread use of various embolic agents to further improve the efficiency of this therapy, prolonged survival of cancer patients.
1. Conventional interventional therapy using Seldinger technique can choose the femoral artery puncture site, axillary artery, pots artery. According to the lesion may be. As a relatively superficial femoral artery, catheterization convenient, high success rate, complications, very little reliable and safe operation. Currently the most commonly used femoral artery.
2. Drug of choice for anti-cancer drug commonly used perfusion and single drug dose: MMC10-20mg ,5-F1J1 000-1500mg, DDP 50 – l00mg, ADM 40 – 60mg, MTX 30 – 50mg, BLM 10 – 40mg. At present, many with high-dose combination therapy, combination therapy is generally based on the following principles: Each individual application of effective chemotherapeutic agents; mechanism of various chemotherapeutic drugs with each other; under the patient so that each chemotherapy drugs have reached the maximum tolerated dose ; toxic effects of selected drugs do not stack; to select a intravenous drug effective chemotherapy regimens.
Interventional treatment and care of cancer 3. Interventional therapy indications and contraindications
(1) Indications for organ-specific late stage cancer patients; tumor recurrence or metastasis than those; mainly used for primary liver cancer and liver metastasis of gastrointestinal cancer after radical operation can also be used for inoperable head and neck cancer. Breast cancer, lung cancer or lung metastases, and limbs, cancer, and esophageal adenocarcinoma and other films also explore.
(2) contraindications serious liver and kidney dysfunction, systemic extensive metastasis, patients can not cooperate.
Interventional treatment and care of cancer 4. Interventional treatment of cancer and care of adverse reactions
The arterial chemotherapy, some patients might have different levels of "post-embolization syndrome", symptoms include nausea, vomiting, local pain and fever and other parts of embolization. Often last 3-7 days, symptomatic treatment usually disappear within 2 weeks.
Improper operation of individual patients can cause vascular injury, such as vascular twin recover from illness, intimal damage, puncture site hematoma formation, vascular solutions can recover from illness vasopressor agents and the puncture site. Nursing intervention:
(1) supine for 6-24 hours.
(2) observed locally per extravasation, hematoma formation, pay attention to the situation dorsal arterial pulse, such as the beating was not obvious, whether there should be thought of thrombosis.
(3) gastrointestinal reactions observed.
(4) prompt attention to temperature changes.
Interventional treatment of cancer and care 5. Embolic agent choice of embolic agents used clinically are proximal embolization of gelatin sponges, and shy parking. The former refers to 3-5mm in diameter the size of embolization of blood vessels, which is commonly used in the embolization is less than 3 – 5mm size of the blood vessels.

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