List specific goals for treatment for S.B.

S.B. is a 57-year-old African American man with newly diagnosed late-stage small cell lung cancer. He has undergone radiation therapy to the brain for his metastases and is to start chemotherapy next week. His past medical history includes hypertension. He has no known drug allergies. A combination chemotherapy regimen has been chosen: cisplatin 100 mg/ m2 for one dose on the first day and etoposide 100 mg/m2 IV every day for 3 days. He has experienced nausea and vomiting.

1. List specific goals for treatment for S.B.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for the second-line therapy?

7. What OTC and/or alternative medications would be appropriate for this patient?

8. What dietary and lifestyle changes should be recommended for this patient?

9. Describe one or two drug-drug or drug-food interactions for the selected agent.

 

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