Treatment FAQ

what to expect 1st chemo treatment

by Jannie Hodkiewicz Published 3 years ago Updated 2 years ago
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Getting started with chemotherapy
It usually takes at least 30 minutes for the drugs to arrive. Some of the pre-medications may be steroids, anti-nausea medications and/or anxiety medications. Each doctor will send an order to the infusion room telling them what chemotherapy and pre-medications to administer.
Mar 8, 2013

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  • Keep taking lots of fluids, be moderately active, eat small meals often.
  • Take your nausea medication if you feel any degree of nausea. In most cases when people suffer from nausea, it is because they did not take their medication.
  • If the given medication does not relieve nausea, contact your treating doctor. ...

What to expect on your first day of chemotherapy?

It's entitled "Outcomes of anti-PD-(L1) therapy in combination with chemotherapy versus immunotherapy (IO) alone for first-line (1L ... for that patient in your clinic with a PD-L1 stain, with ...

What to bring on your first day of chemo?

  • Blood clots
  • Hot flashes (in men as well as in women)
  • Increased risk of other cancers
  • Menopausal symptoms
  • Osteoporosis
  • Sexual side effects (men and women)

How does first chemo treatment affect a person?

Preparing for chemotherapy. First, you may be told to show up a couple of hours early to get blood work drawn. This is to make sure you're able to get your chemotherapy treatment. It can be a pain, but, believe me, it's in your best interest. Use the extra time to relax before you go to your chemotherapy appointment.

How to prepare for 1st chemo therapy?

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How long after your first chemo treatment do you get sick?

Acute nausea and vomiting usually happens within minutes to hours after treatment is given, and usually within the first 24 hours. This is more common when treatment is given by IV infusion or when taken by mouth.

How many days after chemo do you feel better?

Most people say it takes 6 to 12 months after they finish chemotherapy before they truly feel like themselves again.

How do a person feel after first chemo treatment?

Chemotherapy can make you feel sick (nauseated) or cause you to vomit. Not everyone feels sick during or after chemotherapy, but if nausea affects you, it will usually start a few hours after treatment. Nausea may last for many hours and be accompanied by vomiting or retching.

How do I prepare for my first chemo treatment?

Before your first chemotherapy infusionLet your oncology care team demystify chemotherapy for you. ... Keep your other medical care up-to-date. ... Eat well now and later. ... Arrange for help at home and work. ... Ask someone to come to your first appointment for support and company. ... Prepare a bag to bring with you.More items...•

What should you not do during chemotherapy?

9 things to avoid during chemotherapy treatmentContact with body fluids after treatment. ... Overextending yourself. ... Infections. ... Large meals. ... Raw or undercooked foods. ... Hard, acidic, or spicy foods. ... Frequent or heavy alcohol consumption. ... Smoking.More items...•

When are chemo side effects the worst?

Blood cell counts often reach their lowest level about 7 to 14 days after chemotherapy. Low blood cell counts is the most common and most serious side effect of chemotherapy. When it happens, the dose of chemotherapy is adjusted right away or chemotherapy may have to be stopped temporarily.

Do you need someone to drive you home after chemotherapy?

In most cases, your healthcare provider will ask you to get a ride home after your first session to see how you will tolerate the chemo. If you feel well the first time around, you may be advised that it's okay to drive home for future sessions.

Does chemo get worse with each cycle?

The effects of chemo are cumulative. They get worse with each cycle. My doctors warned me: Each infusion will get harder. Each cycle, expect to feel weaker.

Should I eat breakfast before chemotherapy?

Eating a healthy diet before chemotherapy may help a person lower their risk of infection, cope with side effects better, and have a greater chance of receiving treatment without unplanned breaks. During this time, a person can prepare for eating while going through chemotherapy.

What should I pack in my chemo bag?

Below are seven must-haves to pack in your chemo bag:Healthy snacks and water. ... Books/tablet or magazines. ... Your phone, laptop or iPad. ... Journal/notebook or coloring book/sketchpad. ... Games, puzzles and crafts. ... Comfort items. ... Relaxation tools.

Can I drive myself to chemo?

Have a friend or family member drive you to your first treatment. Most people can drive themselves to and from chemotherapy sessions. But the first time you may find that the medications make you sleepy or cause other side effects that make driving difficult.

How many hours does chemo take?

Chemotherapy treatment varies in length and frequency and depends on the individual treatment plan prescribed by your doctor. Some last as long as three or four hours, while others may only take a half-hour.

Before You Start Chemotherapy

Meeting with your oncologist. Before you start chemotherapy, you will meet with your medical oncologist. He or she will review your medical records...

Questions to Ask Before Chemotherapy Starts

Before chemotherapy starts is a good time to ask questions. These may include: 1. Learning more about the schedule and side effects of your specifi...

Planning For Your Chemotherapy Treatments

Preparing for side effects. Depending on the most common side effects of your chemotherapy, your doctor may recommend planning for nausea and vomit...

What Happens on Your First Day of IV Chemotherapy

You may want to bring a friend or family member on your first day of treatment. This person can support you and help you remember information. You...

Giving Chemotherapy With A Port

Before your first appointment, you might have minor surgery to put in a port. This is a round metal or plastic disk that the IV goes in during trea...

How Long Does IV Chemotherapy take?

Your IV chemotherapy can take minutes, hours, or several days if you have continuous infusion chemotherapy. You do not need to stay at the hospital...

After Your IV Chemotherapy

After your treatment is finished, the nurse or another team member will take out your IV. If you have a port, it will stay until you finish all of...

What to do before starting chemo?

Before Starting Chemotherapy. If possible, ask your healthcare provider for a tour of your infusion center. Some cancer treatment centers have private rooms for chemotherapy; at others, patients are in a common area. Seeing the space in advance will help you prepare mentally—and decide what to bring along during chemo sessions.

How long after chemotherapy do you feel better?

Still, you should plan for someone else to drive you home. Side effects don’t typically hit until 4 to 6 hours later—and in some cases, not until a day or two later. A member of your healthcare team will probably call you the next day.

How is chemo administered?

Types of Chemotherapy. Chemotherapy can be administered via pills, capsules or medicated liquid. It can also be infused into the bloodstream via an IV or injected directly into the body. You and your doctor will discuss which chemotherapy drugs and administration process is most likely to successfully attack your cancer.

Can you take anti nausea before chemo?

Ask your doctor to describe the chemotherapy side effects you may experience, as well as what healthcare providers do to manage those side effects. For instance, it’s now common for patients to receive anti-nausea medication before undergoing chemo.

Can you have blood drawn for chemo?

You’ll probably have blood drawn as well. This information helps the healthcare team provide the proper dose of chemotherapy drugs. Expect to wait after your initial tests and blood draw. Chemotherapy medication cannot be prepared in advance; it must be mixed to exact specifications and that takes time.

Can you feel routine chemotherapy?

Report your side effects. Your healthcare provider can help you figure out how to manage any uncomfortable symptoms. While it will never feel routine to receive chemotherapy, in time, the process will become less scary and more familiar.

Can chemotherapy cause hair loss?

If chemotherapy is part of your cancer treatment plan, you’re probably (understandably) nervous. Nearly everyone knows chemo can cause nausea, vomiting, hair loss and other unpleasant side effects. But your doctors and treatment team will guide you through the process and help you manage these symptoms. Learning more about chemotherapy drugs, how they’re administered, and chemo side effects may help put your mind at ease as you prepare for your first infusion.

What to expect when you get chemo?

What to Expect When Having Chemotherapy. It is normal to feel worried or overwhelmed when you find out that you need chemotherapy. However, learning more about this type of cancer treatment may help you feel more prepared and less anxious. The information in this article can help you get ready for your first treatment.

What happens during chemotherapy treatment?

There are different ways you can receive chemotherapy. The most common way that chemotherapy drugs are given is through a needle into a vein. This is called intravenous or IV chemotherapy. Chemotherapy can also be taken as a pill, capsule, or liquid by mouth, as an injection or shot, or as a cream that is put directly on your skin. Learn more about the different kinds of chemotherapy.

Who is on my chemotherapy team?

A highly trained medical team will work together to give you the best possible care. Your team may include these health care professionals:

What happens after IV chemotherapy ends?

After your treatment session ends, the nurse or another health care team member will take out your IV. If you have a port, it will stay in until you finish all of your treatments. The nurse will check your blood pressure, pulse, breathing, and temperature again.

How often do you need chemo?

Your health care team will explain when and how often you need chemotherapy. Most chemotherapy treatments are given in repeating cycles. The length of a cycle depends on the drug (s) you receive. Most cycles range from 2 to 6 weeks. The number of treatment doses scheduled within each cycle also depends on the prescribed chemotherapy.

What is the role of a medical oncologist?

Your medical oncologist works closely with other team members to create your overall cancer treatment plan. They also lead your chemotherapy treatments. Advanced providers, like oncology nurse practitioners (NPs) and oncology physician assistants (PAs).

How to help someone with chemotherapy?

Make a caregiving plan. People receiving chemotherapy may need extra help during treatment with transportation, household chores, and other tasks. Family and friends can provide valuable support during this time, called caregiving. Ask your team what type of caregiving at home you may need during and after treatment.

How to recover from chemo?

Remember that chemo affects every cell in your body. Stay well-hydrated by drinking lots of water or juice . If you feel ​​ fuzzy brained from the medications, try a hot tub soak.

When is the first round of chemo?

on September 23, 2020. If you're about to go for your first round of chemotherapy, you may have lots of questions along with some fears. Your oncologist will talk about the drugs you will receive and potential side effects, as well as how often you will need to be seen. Yet there are many tips that don't often make their way into those ...

How long before chemo do you eat?

Two to three hours before an infusion, eat light and make your choices high-fiber. Chemo drugs tend to slow peristalsis (digestion and bowel processes), so whatever you eat may be in your digestion for longer than usual and will dry out. 1 

Why is drinking water important for chemo?

A benefit of drinking enough water is that it will help your body to process and flush the chemo drugs out of your system sooner, so you can start to recover sooner, too.

How to get hydrated after chemo?

Staying Hydrated by Drinking Fluids. Chemotherapy drugs are very drying to your body's tissues, and the drugs will be going to every cell you have. Right after an infusion, drink 8 ounces of water every hour until bedtime. Avoid caffeine, as it is also drying (it's a diuretic) and may cause you to feel worse.

What are the side effects of chemotherapy?

If you have side effects from chemotherapy that are bothersome, such as nausea, vomiting, rash, swelling, or unusual pain around the injection site, write these down. Your doctor or nurse will need to know how often you're having problems, how severe they are, and how you're coping.

What blood test is done before chemo?

Before you have each round of chemo, you will have a blood test called a complete blood count (CBC). Your CBC provides a reading on all of the types of blood cells produced by the bone marrow which can be affected by chemotherapy. Your red blood cell count and hemoglobin are looked at to see if you have anemia.

What is the first cycle of chemotherapy?

The first chemotherapy cycle is the time to see what specific side effects you experienced. Remember, for all the problems that you might have, there is a solution. Never suffer in silence. Ask for help. Following sessions are usually easier, because you know what to expect. Even if it seems that there is a huge mountain ahead of you, just know that time passes very quickly. Before you know it, you have finished all your chemo sessions.

How does it feel to take a syringe for a second day?

Most people will feel the effects of treatment during the afternoon of the second day. You might feel fatigued and a loss of appetite. During these days, it is very important to prevent nausea.

What is chemo therapy?

What is Chemotherapy? “Chemotherapy refers to drugs that interfere with cancer cell growth and are cytotoxic, meaning that they kill cancer cells, ” explained Dr. Swaney. “The treatment can be administered several ways, although intravenous (IV) is the most common. Chemotherapy is somewhat nonspecific, meaning that while it kills cancer cells, ...

How long can you be off work after a syringe?

While this varies according to the treatment regimen, it is common to be off work on treatment days and sometimes several days afterwards.

How long does a port pump visit last?

Your visit could last as little as one to two hours, or as long as six or more hours. Sometimes you will need to come in the next day for an injection, or two days later for a port pump discontinuation (if there is a medicine infusing while you are home). This will all be discussed with you ahead of your first treatment.

Can you drive home from a first treatment?

This will all be discussed with you ahead of your first treatment. Dr. Swaney recommended arranging a ride home from your first treatment. Depending on your condition, you may be able to drive yourself from subsequent appointments unless your plan includes sedation.

Does chemotherapy kill cancer cells?

Chemotherapy is somewhat nonspecific, meaning that while it kills cancer cells, it can affect other cells in the body, particularly those that reproduce more actively. This contributes to some of its side effects.”.

Is chemotherapy scary?

If chemotherapy is part of your treatment plan, it’s very easy to feel confused, overwhelmed and even scared. However, Robert Swaney, MD, a medical oncologist at Banner MD Anderson Cancer Center at North Colorado Medical Center, reassured that you are never alone in your battle.

Does chemotherapy linger after end?

Dr. Swaney offered some words of comfort. “In most cases, the side effects that you experience during treatment will not linger once chemotherapy has ended. This can be a challenging and sometimes difficult time.

How to get the full benefit of the first round of chemotherapy?

To get the full benefit of the first round of chemotherapy, it is essential to follow the schedule of treatments advised by your doctor.

What to do before chemo?

Meeting your oncologist. Before you begin chemotherapy, you will meet with your medical oncologist. She or he will examine your medical records and do a health examination. You will also have tests done to help plan treatment. Your specific treatment depends upon:

How Long Does First Round of IV Chemotherapy Last?

Your IV chemotherapy can take minutes, hours, or a number of days if you have continuous infusion chemotherapy. You do not have to stay at the health center or clinic for constant infusion. The nurse will provide you medication to prevent side effects such as nausea or possible allergic reactions. Then you get your chemotherapy medications.

What is the role of an oncologist in cancer treatment?

Your oncologist deals with other staff member to develop your treatment plan. She or he is also in charge of your chemotherapy treatments. Oncology nurse. An oncology nurse looks after patients with cancer, including giving chemotherapy He or she answers concerns and assists support you and your household.

What is an oncology nurse?

An oncology nurse looks after patients with cancer, including giving chemotherapy He or she answers concerns and assists support you and your household. Your nurse likewise helps monitor your health during treatment. This can consist of handling any side effects.

How long is a chemotherapy cycle?

The length of a cycle depends on the treatment being given. The majority of cycles range from 2 to 6 weeks. The number of treatment dosages set up within each cycle also differs depending upon the drugs being given.

How does chemo help with colds?

Avoiding being around people with colds or other infections. Chemotherapy damages your body’s immune system, which assists battle infections.

How long does it take for chemo to leave the body?

Most chemotherapy medications will be out of your body in less than 48 hours. We have outlined general precautions that you should follow during your infusion and for 2 days (48 hours) after your chemotherapy is done.

How to get rid of chemo rash on skin?

Skin Care. Skin can become irritated from chemotherapy. If you get chemotherapy or body wastes on your skin, wash the body part with soap and water, then dry. Call your doctor if there is redness or irritation on the skin that lasts longer than one hour.

How to handle laundry soiled with chemotherapy?

Use Nitrile® gloves to handle laundry soiled with chemotherapy to keep it from coming in contact with your skin. Wash your hands before and after removing the gloves.

What should a pregnant woman wear for chemotherapy?

Pregnant or breast feeding women should wear Nitrile® gloves and gowns when caring for patients receiving chemotherapy. This includes changing chemotherapy bags, discarding wastes and cleaning body substances such as diapers and "baby spit".

How to know if you have a symtom?

Call your doctor for if have the following symptoms: 1 Any symptom that concerns you 2 A fever of 100.5 Fahrenheit or greater (38.05 C). Notify your doctor immediately if you develop a temperature, do not delay 3 Bleeding or unusual bruising 4 Burning pain when you urinate 5 Constipation (no bowel movement in 2-3 days) 6 Diarrhea (loose, watery stools) for more than 24 hours 7 Nausea, vomiting or unable to eat or drink for more than 24 hours 8 Pain not controlled by your medications 9 Redness, pain or sores in your mouth 10 Unusual cough, sore throat, lung congestion or shortness of breath

Can you have sex after chemo?

Do not have sexual activity for 48 hours after getting chemotherapy because body fluids may contain chemotherapy. It is very important that you or your partner not get pregnant while having chemotherapy. You should use 2 forms of birth control to avoid pregnancy while you are using this medicine and for at least 6 months after your treatment ends. This is very important for both men and women. Tell your doctor if pregnancy occurs while you are getting cancer treatment.

Can you flush a toilet twice after chemotherapy?

If you are exposed to any body wastes, wash the body part with soap and water. Others in your household may use the same toilet as long as you close the lid and flush twice.

What to do before chemo?

Before you begin chemotherapy, talk with your health care provider about possible side effects and whether you need to have someone drive you home after each visit. Learn more about things to consider before chemotherapy begins. Learn about short-term side effects of chemotherapy. Learn about long-term side effects of chemotherapy.

How long does it take to recover from chemo?

A full course of chemotherapy for early or locally advanced breast cancer is usually given over 3-6 months.

How to contact Komen Breast Care?

If you or a loved one needs more information about breast health or breast cancer, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636). All calls are answered by a trained specialist or oncology social worker in English and Spanish, Monday through Friday from 9:00 a.m. to 10:00 p.m. ET.

How is chemo given?

How chemotherapy drugs are given. Most chemotherapy drugs for breast cancer are given by vein (through an IV) in an outpatient setting at a hospital or clinic. Often, a combination of 2 or 3 chemotherapy drugs is used. At each visit, an IV is inserted into your arm, allowing the drugs to drip into the bloodstream.

How long does chemo last?

Each chemotherapy visit lasts 1-6 hours. This includes time with your medical and nursing teams. At each visit, your blood counts will be checked. You may be given anti-nausea medications and other treatments to reduce some side effects. A friend or family member may be able to stay with you during the visit.

Can you get to chemo if you don't live near the treatment center?

If you do not live near the treatment center, it can be hard to get to and from chemotherapy sessions. If you need a ride to and from treatment, or have child care or elder care needs that make getting to treatments difficult, there may be resources available. Family and friends often want to help, but don’t know how.

Can you give chemo through a port?

Chemotherapy drugs can be given through the port. This avoids putting in an IV at each visit. Instead, a needle is inserted through your skin to the port. Then, the needle is connected to an IV line with the chemotherapy. The port remains in place until chemotherapy treatment is completed.

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