Name of the Procedure:

Chemotherapy Administration, Intravenous Infusion Technique; up to 1 hour, Single or Initial Substance/Drug

Summary

Chemotherapy is a treatment method that uses powerful drugs to target and kill cancer cells. This specific procedure involves administering chemotherapy through an intravenous (IV) infusion over the course of up to one hour. It typically involves a single type of drug or the first drug in a treatment regimen.

Purpose

This procedure is performed to combat cancer by delivering chemotherapy drugs directly into the bloodstream. Goals include reducing tumor size, eliminating cancer cells, preventing cancer spread, and improving survival rates.

Indications

• Diagnosis of a type of cancer that responds to chemotherapy
• Presence of tumors or metastases requiring systemic treatment
• Initial stage of a chemotherapy regimen for disease control

Preparation

• Follow fasting guidelines if instructed by the healthcare provider
• Adjust current medications as directed by the oncologist
• Complete necessary blood tests and imaging studies to assess health status

Procedure Description

1. The patient is seated or reclined comfortably.
2. An intravenous (IV) line is inserted into a vein, usually in the arm.
3. The chemotherapy drug is prepared according to exact dosage requirements.
4. The drug is infused slowly over the course of up to one hour.
5. During the infusion, vital signs are monitored, and the patient is observed for any adverse reactions.
6. After the infusion, the IV line is removed and the infusion site is bandaged.

Duration

The procedure typically takes up to one hour to complete the infusion.

Setting

The procedure is usually performed in an outpatient clinic, hospital oncology unit, or specialized chemotherapy center.

Personnel

• Oncologist
• Specialized chemotherapy nurse
• Pharmacist (for drug preparation)

Risks and Complications

• Common: Nausea, vomiting, fatigue, hair loss, and local reactions at the IV site
• Rare: Severe allergic reactions, infection at the IV site, and damage to nearby tissues from drug leakage
• Management includes supportive care and medications to alleviate side effects, along with close monitoring for any severe complications

Benefits

• Potential to shrink tumors and kill cancer cells
• May improve symptoms and prolong life expectancy
• Maximal benefits can be seen within a few weeks to months, depending on the type of cancer and response to treatment

Recovery

• Post-procedure, patients may experience fatigue and should rest
• Drink plenty of fluids to help flush the drugs from the system
• Follow-up appointments are crucial for monitoring health and adjusting treatment plans

Alternatives

• Surgery: Direct removal of tumors, if feasible
• Radiotherapy: Targeted radiation to kill cancer cells
• Immunotherapy: Boosts the body’s immune system to fight cancer
• Each alternative has its own pros and cons, and choice depends on cancer type, stage, and patient health

Patient Experience

Patients might feel a slight discomfort during IV insertion and may experience varying levels of fatigue and nausea following treatment. Pain management, anti-nausea medications, and supportive care measures are provided to enhance comfort and manage side effects.