11:709:364 Lecture Notes - Lecture 90: Prochlorperazine, Glutamine, Procarbazine
10 Aug 2020
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Causes: gastroparesis, gastric atrophy, pain, fatigue. Interventions: morning is best time for eating, small, frequent meals, soft, easy-to-prepare foods, appropriate pain medications, appetite stimulants (megace, marinol, Types: mucositis and thrush (candida albicans, dry mouth, altered taste acuity, metallic taste (from chemo) Interventions: encourage fluids, artificial saliva, mouth swabs or oral rinses, foods with sauces, gravies and soft foods, increase flavorings/seasonings on food, serve foods at room temperature, parenteral glutamine supplementation inconsistent findings. Types: heightened sense of smell, sensitivity to food prep odors and other items. Interventions: decrease aroma of foods, serving cold foods instead of hot. Interventions: low fat, high fiber, low lactose (low residue, small, frequent meals, medications: ondansetron, tigan, compazine, Chemotherapy induced nausea and vomiting: specific chemo drugs and side effects, oxaliplatin: sensitivity to cold and cold foods, pemetrexed (alimta): requires vitamin b12 and folate supplementation to avoid anemia, procarbazine (mutalane): avoid tyramine- rich foods. Low bacteria/low microbial diet cooked foods only.
