Nursing Care of Patients Undergoing Chemotherapy Desensitization: Part II

Jakel, Patricia; Carsten, Cynthia; Carino, Arvie; Braskett, Melinda

doi:10.1188/16.cjon.137-139

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Com relação aos protocolos, algoritmos ou diretrizes clínicas desenvolvidos exclusivamente por Enfermeiros, destacaram-se dois estudos (Jakel et al, 2016;Mayer, 2015).…”

Section: Gerenciamento Do Cuidado E Controle Dos Sintomasunclassified

Cuidados de Enfermagem no manejo de reações de hipersensibilidade em pacientes submetidos à terapêutica antineoplásica: revisão para a prática clínica

Freitas

Fuly

2020

RSD

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Objective: To identify the scientific evidence available in the literature on nursing care for cancer patients who have hypersensitivity reactions during antineoplastic treatment, and thus describe the best practices for its management. Methods: Integrative review of the literature operated from July to September 2019 in the PUBMED, EMBASE, CINAHL AND LILACS databases, from the terms Oncology, drug hypersensitivity, drug therapy, nursing care. Results: The search resulted in5 studies, which specifically investigated the Nursing interventions in relation to hypersensitivity reactions. Based on evidence-based practice (EBS), a framework was built determining the best practices described in the literature. Among the interventions found were: previous assessment of the patient, rapid assessment of the degree of reaction, pause of drug infusion, airway assessment, good breathing and circulation, administration of physiological solution, oxygen therapy, corticoids and antihistamines according to institutional protocols and continuous assessment of vital signs. Conclusion: Oncologist nurses need to be properly trained in the management of hypersensitivity reactions and with the medical team to provide the patient with rapid and accurate assistance to minimize complications and grievances during treatment.

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“…Com relação aos protocolos, algoritmos ou diretrizes clínicas desenvolvidos exclusivamente por Enfermeiros, destacaram-se dois estudos (Jakel et al, 2016;Mayer, 2015).…”

Section: Gerenciamento Do Cuidado E Controle Dos Sintomasunclassified

Cuidados de Enfermagem no manejo de reações de hipersensibilidade em pacientes submetidos à terapêutica antineoplásica: revisão para a prática clínica

Freitas

Fuly

2020

RSD

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“…Specific training enables the bedside nurse to coordinate care among the primary team, allergy consultant, pharmacist, and respiratory therapist (RT). The literature contains multiple references addressing the nursing care of adult patients undergoing drug desensitization, particularly with chemotherapeutic agents (Candela, 2002; Jakel, Carsten, Braskett, et al, 2016; Jakel, Carsten, Carino, et al, 2016). Pediatric patients undergoing desensitization have specialized needs including not only different medications, but also volume and dosing restrictions, and consideration of developmental level and emotional responses to high‐risk procedures.…”

Section: What Are Drug Desensitizations?mentioning

confidence: 99%

Safe administration of drug desensitizations in pediatric patients

Herr

Ferdman

Braskett

2020

Specialist Pediatric Nursing

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Purpose Patients with certain types of allergic reactions to medication may safely receive the culprit medication through an elaborate allergy procedure called a drug desensitization. Nurses play a key role in this process which is only performed when a certain medication is absolutely indicated as optimal therapy. Nurses are instrumental in the planning stages of drug desensitizations for coordination of interdisciplinary care and anticipation of adverse effects. Thus, it is paramount that nurses performing this procedure understand the mechanism of desensitizations and have access to the resources needed to safely complete these procedures in pediatric patients. Conclusion Excellence in nursing clinical acumen and a detailed order set are essential to patient safety during dug desensitization. With the following methodology and coordination by nursing, we have had great success at Children's Hospital Los Angeles in over one hundred drug desensitizations in pediatric patients which allowed them to received first line therapies. We have created order sets from published references and years of clinical experience. The nursing care of adult patients undergoing drug desensitization procedures is well described in the literature but few resources exist for pediatric nurses. There is paucity of published nursing resources for pediatric drug desensitizations. Repeated PubMed searches for “pediatric drug desensitizations” in 2019‐2020, revealed only one recent reference geared toward physicians. Practice Implications With appropriate training, staffing, and coordination, drug desensitizations can be safely performed in pediatric patients with close observation by a multi‐disciplinary team. The bedside nurse has a pivotal role as coordinator and clinician for these high‐risk resource‐intensive procedures.

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Oxaliplatin

2017

Reactions Weekly

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Nursing Care of Patients Undergoing Chemotherapy Desensitization: Part II

Cited by 4 publications

References 3 publications

Cuidados de Enfermagem no manejo de reações de hipersensibilidade em pacientes submetidos à terapêutica antineoplásica: revisão para a prática clínica

Cuidados de Enfermagem no manejo de reações de hipersensibilidade em pacientes submetidos à terapêutica antineoplásica: revisão para a prática clínica

Safe administration of drug desensitizations in pediatric patients

Oxaliplatin

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