Chemotherapy

Definition

Chemotherapy is a treatment used to kill cancer cells. It involves taking medications that are toxic to fast-growing cells like cancer cells.

Reasons for Procedure    TOP

Chemotherapy is used to treat cancer. The goal is to reduce the number of cancer cells or decrease the size of tumors.

Side Effects    TOP

Many types of chemotherapy drugs not only damage the cancer cells but can also damage some of your normal cells. This can create side effects. Side effects will vary between chemotherapy treatments. Your doctor will review a list of possible side effects for your treatment type. Some side effects of chemotherapy include:

You and your doctor will talk about options to help relieve some of these side effects.

What to Expect    TOP

Prior to Procedure

You may be asked to take some pre-medications such as:

  • Steroids
  • Allergy medications, such as an antihistamine
  • Antiemetics to control nausea
  • Sedatives
  • Antibiotics

Description of the Procedure

Your doctor will talk to you about the best way to deliver the medication(s). Chemotherapy drugs may be given by:

  • IV
  • Mouth
  • Catheter tube into the bladder, abdomen, chest cavity, brain, spinal cord, or liver
  • Injection into a muscle
  • Application to the skin

Chemotherapy Delivery Through the Cardiovascular System

Chemotherapy
Copyright © Nucleus Medical Media, Inc.

How Long Will It Take?    TOP

How long it will take depends on the method used, the number of medications, and the amount of each medication. A session may be as brief as the time it takes to swallow a pill. It could also take several hours or last overnight. Some types of chemotherapy can be given as a continuous infusion through a portable pump.

Will It Hurt?    TOP

The treatment may cause a number of uncomfortable side effects. The delivery of the chemotherapy usually does not hurt.

Average Hospital Stay    TOP

Most often, you can leave after the medication is delivered. Some chemotherapy treatments will require a stay in the hospital. This may be about 2-3 days.

Your doctor may choose to keep you in the hospital if you have complications, such as severe vomiting.

Post-procedure Care    TOP

At the Hospital

You may be given any of the following:

  • Medications to take at home
  • Injections of an immune-system or blood cell boosting drug
  • Other drugs, including steroids, allergy medications, sedatives, and antibiotics

At Home

When you return home:

  • Balance periods of rest and activity.
  • Try to do some physical activity each day. Exercise can help to reduce fatigue.
  • Try to eat a healthful diet.
  • Drink lots of fluids to avoid dehydration.
  • Try to avoid people with diseases that can be spread easily, including children. Chemotherapy will likely weaken your immune system. Viral illnesses, such as a cold or the flu, can have serious effects.

Your doctor may order any of the following tests to check the progress of your treatment:

Call Your Doctor    TOP

Contact your doctor if you are having difficulty managing chemotherapy or you develop complications such as:

  • Signs of infection, including fever and chills
  • Sores in your mouth, throat, or lips
  • White patches in your mouth
  • Difficulty/pain with swallowing
  • Diarrhea or constipation
  • Vomiting that prevents you from holding down fluids
  • Blood in your vomit
  • Easy bruising
  • Nosebleeds, bleeding gums, new vaginal bleeding
  • Blood in your urine or stool
  • Burning or frequency of urination
  • Chest pain
  • Severe weakness
  • Shortness of breath, trouble breathing, or cough
  • Calf pain, swelling, or redness in the legs or feet
  • Abnormal vaginal discharge, itching, or odor
  • New pain or pain that you cannot control with the medications you were given
  • Numbness, tingling, or pain in your extremities
  • Joint pain, stiffness, rash, or other new symptoms
  • Redness, swelling, increasing pain, excessive bleeding, or a pimple at the site of your IV
  • Headache, stiff neck
  • Hearing or vision changes
  • Ringing in your ears
  • Exposure to someone with an infectious illness, including chickenpox
  • Weight gain or loss of 10 pounds or more

If you think you have an emergency, call for emergency medical services right away.

RESOURCES:

American Cancer Society
http://www.cancer.org
National Cancer Institute
http://www.cancer.gov

CANADIAN RESOURCES:

Canadian Cancer Society
http://www.cancer.ca
Cancer Care Ontario
https://www.cancercare.on.ca

References:

Chemotherapy and you: Support for people with cancer. National Cancer Institute website. Available at:
...(Click grey area to select URL)
Updated June 2011. Accessed November 22, 2016.
Understanding chemotherapy. National Cancer Institute website. Available at:
...(Click grey area to select URL)
Accessed November 22, 2016.
Last reviewed September 2016 by Mohei Abouzied, MD
Last Updated: 9/11/2014

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