EMS and Chemotherapy. Jerry Myers, EMT-P/EMS-I Lieutenant, Ambulance Supervisor Ridgefield Fire Department [email protected] What we will talk about. What is Cancer What causes Cancer How is it treated What is Chemotherapy Assessment tips for chemotherapy patients
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Cancer is what happens when part of your body grows in an uncontrollable way and damages healthy parts.
Cancer cells grow and multiply when they should not.
Cancer cells are capable of crossing the normal boundaries of the tissue they start in.
Cancer cells can get in to the bloodstream or other means of travel.
Cancer cells can establish secondary tumors at distant areas.
Cancer cells may produce substances that interfere with normal body functions.
Surgery has been used to cut out tumors for probably over two thousand years.
Surgery still offers the best chance of cure when the cancer can be totally contained in the area that is removed.
Surgical removal of cancer may be followed by additional treatments such as chemotherapy or radiation.
Surgery can be preventative, Diagnostic, or Curative in nature.
Radiation is created by machines, or given off by substances such as cobalt.
Radiation is applied to the cancer and kills the cancer cells.
The dose needs to be high enough to kill the cancer, but not the tissue surrounding it.
The skill of the radiation oncologist and the radiotherapy department can have a significant effect of the success of this treatment.
Radiation treatment is given in daily fractions lasting a few minutes each day.
Chemotherapy was accidentally discovered when a ship carrying mustard gas exploded during WW-2.
Pathologists were amazed by the damage to lymph systems and bone marrow of the sailors who died.
Yale University Physicians experimented with nitrogen mustard to treat cancers of the blood and lymph systems.
This gave birth to what we now know as chemotherapy.
Taxol Ifosamide Platinum
Altretamine Aminoglutethimide Bleomycin
Carboplatin Cytarabine Docetaxel
Doxorubicin Etoposide Floxuridine
Fluorouracil Gemcitabine Interferons
Levamisole Lomustine Methotraxate
Mitomycin Procarbazine Rituximab
Streptozocin Tamoxifen Vincristine
Nausea Hair Loss Loss of appetite
Fatigue Anemia Infection
Clotting Problems Diarrhea Constipation
Nerve/Muscle problems Mouth/Gum/Throat problems
Skin/Nail effects Kidney/Bladder problems
Fluid Retention Tooth decay
Fever higher than 100.5 F
Shaking or Chills
Unusual bleeding or bruising
Shortness of breath
Severe constipation or diarrhea
Vomiting that continues 72 hours after treatment
Painful or burning urination
Blood in urine or stool
Soreness of the intravenous site
Peripherally Inserted Central Catheter