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Author Question: A patient will receive intrathecal liposomal cytarabine (DepoCyt) to treat acute myelogenous ... (Read 54 times)

evelyn o bentley

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on: Jul 23, 2018
A patient will receive intrathecal liposomal cytarabine (DepoCyt) to treat acute myelogenous leukemia. The provider has ordered the concurrent administration of dexamethasone. The nurse understands that this is given to:
 
  a. prevent bone marrow suppression.
  b. prevent hair loss and stomatitis.
  c. reduce the incidence of pulmonary edema.
  d. reduce the severity of chemical arachnoiditis.

Question 2

A patient with non-Hodgkin's lymphoma is about to begin chemotherapy with methotrexate (Rheumatrex). The nurse will expect to administer which medication concurrently with this drug?
 
  a. Dexamethasone
  b. Folic acid
  c. Leucovorin
  d. Vitamin B12


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kxciann

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Chemical arachnoiditis can occur with the liposomal formulation of cytarabine; dexamethasone is given to reduce the incidence and severity of this side effect. It is not used to prevent bone marrow suppression. It is not given to minimize hair loss or stomatitis. It does not reduce the incidence of pulmonary edema.

Answer to Question 2

ANS: C
Leucovorin is used to protect normal cells when large doses of methotrexate are given. Dexamethasone, folic acid, and vitamin B12 are not given concurrently with methotrexate.


evelyn o bentley

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

momolu

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Reply 3 on: Yesterday
Excellent

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