Treatment FAQ

what to expect during first chemo treatment

by Conor Jacobi PhD Published 2 years ago Updated 2 years ago
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Once you're in the infusion suite, the nurse will order your chemotherapy cocktail and any pre-medications that are required from the pharmacy. 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.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?

What happens after treatment finishes? After radiation therapy has finished, your treatment team will tell you how to look after the treatment area and recommend ways to manage side effects. They will also advise who to call if you have any concerns. Life after cancer treatment can present its own challenges.

What happens after Chemo is finished?

blood tests to check how well your kidneys and liver are working and the number of blood cells. x-rays and scans to check that you are fit for treatment and see how the tumour is responding to treatment. For some chemotherapy drugs you may also have: heart monitoring tests to see if the drugs are affecting your heart.

What to expect when having chemotherapy?

The Effects of Chemotherapy on Your Body

  • Circulatory and immune systems. ...
  • Nervous and muscular systems. ...
  • Digestive system. ...
  • Integumentary system (skin, hair, and nails) Hair loss is perhaps the most infamous side effect of chemo treatments. ...
  • Sexual and reproductive system. ...

More items...

How does chemotherapy affect your body after treatment?

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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 do you feel after 1st chemo treatment?

The most commonly reported side effect after receiving chemotherapy is fatigue. 7 Give yourself time for extra rest and sleep in the days after a session. Tell your healthcare provider if your fatigue begins to affect your ability to function or complete basic tasks, like bathing.

What are the side effects of first chemo?

Here's a list of many of the common side effects, but it's unlikely you'll have all of these.Tiredness. Tiredness (fatigue) is one of the most common side effects of chemotherapy. ... Feeling and being sick. ... Hair loss. ... Infections. ... Anaemia. ... Bruising and bleeding. ... Sore mouth. ... Loss of appetite.More items...

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.

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...•

How do I prepare my home for chemo?

Stay healthy and strong.Take it easy.Don't compare your body to how it was before chemotherapy.Drink lots of water.Go for a walk every day, if possible.Try to eat something. ... Read the provided handouts regarding chemotherapy and its side effects.Try acupuncture to help alleviate pain and nausea.More items...•

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.

Does all your hair fall out with chemo?

Hair loss does not occur with all chemotherapy. Whether or not your hair remains as it is, thins or falls out, depends on the drugs and dosages. Hair loss may occur as early as the second or third week after the first cycle of chemotherapy, although it may not happen until after the second cycle of chemotherapy.

Does chemo make you lose weight?

Chemotherapy may directly or indirectly cause weight gain or weight loss. Slight fluctuations (a few pounds) in your weight, after chemotherapy, either up or down, are not dangerous. However, significant chemotherapy weight loss or weight gain may affect your health and/or your ability to tolerate your treatments.

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.

Can you drive yourself home after chemo 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 painful chemotherapy is?

The actual chemotherapy process is usually painless. Some chemo drugs may cause a slight burning as they enter your vein. For example, if the IV is in your hand or wrist, you may feel the burning sensation moving up your arm. This is perfectly normal and will ease as the infusion progresses.

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 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.

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 sit up in an infusion area?

When the healthcare team is ready, you’ll be settled in an infusion area. (Most places have comfortable recliners available for patients, so you can sit up or lie down as desired.) A nurse will access your catheter or port or insert an IV and may administer some IV fluids and medication. (Some of these meds may make you feel sleepy or energized.) If you have any questions about what’s happening, ask. Staff members want you to feel comfortable and informed.

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.

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.

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.

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.

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 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 blood test for 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.

What to expect when you are done with chemo?

When you are done your first day of chemotherapy you may be emotional, exhausted, overwhelmed or ecstatic. You won't know exactly what to expect until you are living it. Once you are home, it is important to follow any instructions given to you. Take your medications on time, rest, hydrate, and eat.

What to bring to chemo infusion?

Most treatment areas are cold, so bringing a blanket is a good option since you will be attached to your chemotherapy infusion making removing and adding clothing difficult. You may also want to bring a lip balm or lotion with you to keep your skin hydrated.

What to eat in an infusion suite?

Some good snack ideas include: nuts, whole grain crackers, hard cheese, hummus, granola bars and fruit.

What to eat during infusion?

You may want to pick a snack that is high in nutritional value and somewhat bland in smell and taste. Some infusion suites are open, meaning that there is more than one patient being treated in the room, so you want to be mindful to exclude any foods that have a strong odor to them. Some good snack ideas include: nuts, whole grain crackers, hard cheese, hummus, granola bars and fruit. Most treatment centers will provide water.

How to organize your information for your first day of treatment?

It's a good idea to have information prepared for the questions you may be asked. You can use the OncoPilot section to print out logs to organize your information. Putting these forms into a binder that can travel with you to appointments is a good way to keep organized going forward.

Do you have to fill out paperwork for a blood work appointment?

Arrive on time for your appointment. You may need to fill out paperwork and you will likely have blood work drawn prior to your treatment. The results of this blood work may influence your treatment, so there will likely be a delay after the blood is drawn while the team awaits the results.

Can you drive to a cancer treatment?

Because you don't know how your body will react to the different medications, it is a good idea to have someone drive you to and from treatment, at least the first time. You may find that you tolerate it well and can come alone for future visits if you prefer. It is best to familiarize yourself with directions to the cancer center, where to park and where to sign in upon arrival.

How to prepare for chemo?

be unique, I hope these tips help you feel a little more prepared for your own chemotherapy journey. 1. Prepare Your Chemo Bag . Like packing for a trip, packing a chemo bag can make you feel a little more prepared for the experience. Most chemo days will be extremely long ...

How to help someone with chemo?

I found everyone around me was more supportive when I told them what I needed and what was NOT helpful. Ask them to walk the dog, pick up the kids, drop off dinner. Anything to help reduce your responsibilities during chemo so you can focus on your health.

How to deal with cancer?

3. Take Care of Your Mental Health 1 Familiarize yourself with calming breathing exercises. Check out this video guide I led. 2 Incorporate mindfulness practices 3 Educate yourself on the mental side of cancer can make the feelings themself feel less daunting. You are not along in these feelings and they are not abnormal 4 Read my post about Managing Cancer Induced Stress & Anxiety 5 Talk to a mental health professional - if the person has experience with cancer patients that is even better (check with your cancer center for referrals) 6 Talk to your doctor about medications you can try. I have been on a low dose Citalopram since the end of chemo and it helped so much. I was also on Ativan for the panic attacks during active treatment. 7 Determine what tools calm you and helps process your emotions. I liked journalling, listening to guided meditation tracks during appointments and reading inspirational stories

How to get your teeth cleaned before chemo?

Chemo can wreck havoc on your mouth and you will not be cleared to return to the dentist until 3-4 after your last chemotherapy session. This is a precaution to avoid a bacterial bloodstream infection.

What to drink before chemo?

Drinking lots of water, green tea (unsweetened) or bone broth* can really help. Drinking lots of liquid before, during and after chemotherapy sessions can also alleviate feelings of nausea and help flush the toxins out ...

Is emotional trauma normal during chemotherapy?

All of the emotional trauma is a normal part of the chemo experience but many people are not prepared. So how do you prepare for the mental impact of your chemotherapy treatment?

Can you use biotene toothpaste during chemo?

This is a precaution to avoid a bacterial bloodstream infection. Biotene mouthwash and toothpaste are wonderful during chemotherapy for maintaining dental care and they won't irritate sensitive gums or mouth sores (another common side effect). 5. Prepare for Hair Loss.

Is chemotherapy a bad thing?

1. Some see chemotherapy as a big bad monster. While many first-timers say that they were scared, after the first and second session they felt more at ease and realized that chemotherapy is the start of a path to healing.

Can chemo burn?

Sometimes it burns, if going in too fast. Some drugs will go in and you don't feel much except the cold. But the bags of saline that the chemo drugs are injected into are kept refrigerated, so they are usually cold, that's uncomfortable to me. Also, some drugs I can taste as soon as it hits my blood.".

What happens after chemo?

What Happen with You after the First Round of Chemotherapy Treatment. Patients experiece different body reactions after first-time (round) of chemotherapy. You can expect: Gaining weight during and after chemo. Losing hairs (that makes you having cancer very visible) You may start looking aged after the treatment.

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.

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