60 cases of breast cancer chemotherapy drugs after surgery care.docVIP

 PAGE \* MERGEFORMAT 6 60 cases of breast cancer chemotherapy drugs after surgery care [Keywords:] breast cancer, surgery, chemotherapy, nursing Breast cancer is common malignancy of women in clinical diagnosis 50% to 60% generally have micrometastases exist, once diagnosed, immediate surgery, but often a simple surgery can not cure breast cancer. In order to prevent a result of surgery proliferation of cancer cells caused by compression, consolidation effect, within a certain period of time after surgery to give intravenous anticancer drugs, chemotherapy [1]. In order to alleviate the suffering of patients and reduce drug toxicity, our department since 2006 January to January 2008 on 60 cases of breast cancer patients taking adjuvant chemotherapy, nursing care through scientific measures, and achieved satisfactory results. 1 Materials and Methods The 60 patients were female patients, aged 36 to 70 years (mean 53 years old, check blood before chemotherapy, liver function, kidney function, ECG were normal. Treatment: fluorouracil 1 000 mg, 60 mg doxorubicin , cisplatin 125 mg, docetaxel 120 mg, cyclophosphamide 800 mg intravenous infusion .3 ~ 5 d to a course of treatment, it normally takes 5 courses. 2 Results The group of 51 patients with bone marrow suppression, the incidence of 85%, 56 cases of gastrointestinal reaction, the rate was 93%, alopecia 58 cases, the rate was 97%, phlebitis in 20 cases, the rate was 33%, liver dysfunction 5 cases, the rate was 8%, 2 cases of cardiac toxicity, the occurrence rate of 3%, 10 cases of nervous system toxicity, the rate was 17%. 3 Discussion The toxicity of chemotherapy drugs can cause stimulation of endothelial damage, vasospasm. After intravenous puncture, first with normal saline 20 mL and dexamethasone 5 mg intravenously, can protect blood vessels, preventing the occurrence of phlebitis. Using Y-reserved needle-type casing when not using intravenous catheter placement, each end of chemotherap