Question

.James, a 3-year-old, has been diagnosed with acute lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alkylating agent cyclophosphamide (Cytoxan) in the morning.

a. . What special considerations are needed for a child James’ age who will receive chemotherapy?

Answer 1

Some of the special considerations which had to be taken while administration of chemotherapy to a child of this age are

• Age and weight specific drugs calculated based on the body mass index of the patient
• Ensure the child is free of infection , fever or other problems to prevent severe side effects
• Assessing the function of the vital organs like kidney and liver which takes part in major excretion of the drug from the body
• Ensure the parents are with the child during chemotherapy
• Assess for the general health of the child
• Strict infection control practice as these drugs can cause immunity suppression and risk the child for infection.