Treatment FAQ

what to expect in chemo treatment

by Mr. Stone Doyle MD Published 3 years ago Updated 2 years ago
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A wide range of adverse effects can occur, including :
  • Nausea and vomiting. Nausea and vomiting are typical side effects. ...
  • Hair, nails, and skin. Chemotherapy drugs attack fast-growing cells, such as hair cells. ...
  • Fatigue. ...
  • Hearing impairment. ...
  • Infections. ...
  • Bleeding problems. ...
  • Anemia. ...
  • Mucositis.

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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?

  • The earlier cancer is detected, the sooner it can be managed.
  • Delay in initiating treatment may turn curable cancer into incurable cancer.
  • Holding or delaying ongoing cancer treatment can lead to the progression of well-controlled cancer.
  • Operable cancer might become inoperable if you delay your cancer surgery leading to worse outcomes.

More items...

What precautions should you take during chemotherapy treatment?

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?

When you do a chemo cycle, the fatigue usually gets worse in the first few days and then gets better until the next treatment, the ACS says. There are plenty of reasons why people on chemo feel...

Do chemo side effects get better or worse?

How to help someone with chemotherapy?

How long does chemo last?

What type of doctor is best for cancer?

How to get a blood test for cancer?

How is chemo given?

What to tell your chemo team?

What is the best treatment for cancer?

See more

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What can I expect at my first chemo treatment?

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.

How many hours does a chemo session 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.

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 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.

What should I do the night before 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...•

How do you feel after first round of chemo?

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.

Why do you have to flush toilet twice after chemo?

Small amounts of chemotherapy are present in your body fluids and body waste. If any part of your body is exposed to any body fluids or wastes, wash the exposed area with soap and water. People in your household may use the same toilet as you, as long as you flush all waste down the toilet twice with the lid down.

How do I prepare my home for chemo?

You may want to keep bleach or sanitizing wipes around your house. Use gloves when you clean. You may be more sensitive to smells if you're in chemotherapy....You or someone else should disinfect items like these once a day:Tables and countertops.Refrigerator handles.Phones.Keyboards.Remote controls.Toilets and faucets.

Can you share a toilet with someone on chemo?

For 48 hours after receiving chemotherapy, patients and caregivers should follow these precautions: Flush toilets twice each time they are used. If possible, patients should use a separate toilet from others in the home. Always wash hands with soap and water after using the toilet.

How soon after starting chemo do you lose your hair?

Hair usually begins falling out two to four weeks after you start treatment. It could fall out very quickly in clumps or gradually. You'll likely notice accumulations of loose hair on your pillow, in your hairbrush or comb, or in your sink or shower drain. Your scalp may feel tender.

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 sleep during chemotherapy?

The drugs used for chemotherapy can cause you to feel tired or fatigued. So you may take naps or sleep during the day, which can lead to difficulty falling or staying asleep at night. Also, some medications that you may take to combat the side effects of chemotherapy can contribute to sleep problems.

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...

How early can you get blood work done for chemo?

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.#N#It can be a pain, but, believe me, it's in your best interest.#N#Use the extra time to relax before you go to your chemotherapy appointment.#N#When you arrive at the infusion floor and they have your lab results and a room available, you'll be called back to have your vital signs taken.#N#Once you are cleared at the vitals station, you will be taken to your chemotherapy room for your infusion.#N#At MD Anderson, you will have a TV, Internet access, a bed or a recliner and best of all warm blankets.#N#They also have food service at lunch and dinner if you're hungry.#N#At MD Anderson, you're allowed to have one caregiver with you in the infusion room.

How long does it take for chemo to arrive?

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.

What to do after chemo?

After the chemotherapy is finished, the nurse will "flush" your IV line with saline and then de-access your port or take out your IV.

How old is Rachel Midgett?

Rachel Midgett is a 41-year-old stage IV breast cancer patient. Her journey started with her trying to get pregnant by IVF (in vitro fertilization). She was about to start round 2 of IVF when she found a cyst on her left breast. The cyst ended up being benign, but underneath the cyst was a 4.5 cm malignant tumor.

How long after chemo can you go home?

They may have you wait 30 minutes after the chemotherapy is done to make sure you don't have any reactions to the medications. At that point, you can go home. Again, depending on your pre-medications and chemotherapy, you may have lots of energy or may feel very sleepy later in the day.

How do nurses start chemotherapy?

Your nurse will begin with a saline solution through your IV. As soon as the medications are delivered, your nurse will hang the bags of medication on the IV stand and then start the different IVs. You'll be given pre-medications first, then the chemotherapy.

Can steroids make you sleepy?

The steroids may give you energy; the allergy drugs and anti-anxiety drugs may make you sleepy. It's important that you have a caregiver with you to get you to and from chemotherapy the first time, as you don't know how you'll feel after you're done.

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.

What to do during first chemotherapy infusion?

During Your First Chemotherapy Infusion. Plan to spend the day at the hospital or treatment center. When you arrive, a healthcare provider will check your vital signs, height and weight. You’ll probably have blood drawn as well. This information helps the healthcare team provide the proper dose of chemotherapy drugs.

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.

Where is the catheter implanted?

Some have a thin catheter implanted in their chest or forearm. Others have a port implanted under the skin of the chest; this port connects directly to a large vein and can be easily accessed with a needle. When needed, healthcare providers can draw blood samples from ports and implanted catheters.

Can you prepare chemotherapy in advance?

Chemotherapy medication cannot be prepared in advance; it must be mixed to exact specifications and that takes time. 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.)

Can chemo cause hair loss?

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 ...

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 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 wash gloves?

If possible, wash contaminated laundry right away. If you cannot wash it right away, place it in a leak-proof double plastic bag and wash as soon as possible. Run them through the washer twice using laundry soap and color safe bleach.

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.

What is the number for HomeMed?

The HomeMed™ Number is 800-862-2731.

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.

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 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 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 ...

Can chemo cause acne?

Chemotherapy can make your skin dry, and irritated, so be sure to moisturize everyday. I also experiences odd acne rashes on my chest, which is a another quite common side effect of the chemo. Also don't be afraid to ask your oncologists for topical steroids if you have hormonal reactions or rashes. PLEASE don't forget your sunscreen as well as your skin is super sensitive to the sun during chemo. There are so many safe sunscreens these days from La Roche Posay, Coola, EltaMD, BareRepublic, and more.

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.

Can chemo make your skin sensitive?

Chemotherapy can make your skin extremely sensitive and "fragrance" can be a term used to conceal chemicals that may have an adverse effect on your skin. If your face is particular dry, check out this DIY face mask post for an at home solution to dry sensitive skin.

Why is it important to tell the truth about how you are doing?

It’s important to tell the truth about how you are doing so you can get the help you need. Don’t sugar coat your chemo experience in the name of being positive. Positive thinking can only take you so far.

How to stay safe during chemo?

Your healthcare team will tell you how to stay safe during your chemo treatments. Chemo must be handled carefully using protective equipment by health care workers , which is something you probably will not need to worry about. Something that can happen is a badly placed IV injecting chemo into your tissue instead of a vein. It’ll hurt and it is serious. Make sure to tell your chemo nurse as soon as possible so they can tend to the problem.

Does cancer bite you?

Cancer and chemo really bite. There’s no doubt about it. But here’s one of the perks; you have just joined a club of people who have some pretty cool things in common. You may now have a new sense of humor that will lighten your heart at the darkest moments, as well as a new appreciation for life and hair

Can port a cath help with nausea?

You’ll want to talk to your doctor about managing side effects before starting treatment. There are drugs that can help with nausea and precautions to take to prevent infection (like avoiding sick people entirely). There are also options for making your IV hookups less painful to protect your veins from long-term damage, like a port-a-cath .

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.

What is a port a cath?

Port-a-cath (port) Some people have a surgical procedure to insert a small device called a port-a-cath under the skin of the chest. This may be called a “port”. One end of the port goes into a large vein near your heart and the other end is just under your skin. Chemotherapy drugs can be given through the port.

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 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.

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.

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.

What happens if your neutrophil is low?

If your neutrophil level is too low, you may be at risk for infection. 2 . With some chemotherapy regimens, your oncologist may recommend treating you with either Neulasta or Neupogen, which are medications that increase the number and activity of white blood cells in your body.

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.

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.

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.

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 long does chemo last?

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 type of doctor is best for cancer?

Medical oncologist. This type of doctor specializes in treating cancer with medication. Your medical oncologist works closely with other team members to create your overall cancer treatment plan. They also lead your chemotherapy treatments.

How to get a blood test for cancer?

Have a blood sample taken. Meet with your oncologist so they can check your health and blood test results. Meet the nurse or other health professionals who will give your treatment. Have your blood pressure, pulse, breathing, and temperature taken before starting treatment.

How is chemo given?

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.

What to tell your chemo team?

Always tell your chemotherapy team about any prescription and non-prescription medicines you take. Include vitamins and other supplements, such as herbs. This is to avoid drug interactions and other unwanted side effects. Your doctor will tell you if you should not take them during chemotherapy.

What is the best treatment for cancer?

Relieving physical and emotional side effects is an important part of your overall cancer treatment. This type of care is called palliative care or supportive care . Talk with your health care team about the side effects you experience and ways to manage and treat them. Learn more about the side effects of chemotherapy.

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