Chapter 52, Problem 1CS

(1)

Summary Introduction

To determine:

The mechanism of action granisetron that makes it effective in the management of chemotherapy-induced nausea and vomiting.

Case summary:

Mr. S. is a 68-year-old bus driver, who recovered well from the right lung lobectomy as he had a recent diagnosis of lung cancer. His incisions are healed well and he is ready for the chemotherapeutic sessions. The premedication orders include granisetron (Kytril) and also oral ondansetron (Zofran) to use at home.

(2)

Summary Introduction

To explain:

The important patient teaching points should emphasize the ondansetron administration to Mr.S.

Case summary:

Mr. S. is a 68-year-old bus driver, who recovered well from the right lung lobectomy as he had a recent diagnosis of lung cancer. His incisions are healed well and he is ready for the chemotherapeutic sessions. The premedication orders include granisetron (Kytril) and also oral ondansetron (Zofran) to use at home.

(3)

Summary Introduction

To determine:

The answer for the oncologist discontinuation of ondansetron, as Mr. S. complained that this drug is not helping to treat nausea and vomiting after 2 weeks. Mr. S. received a prescription for dronabinol and expresses his concern by exclaiming “There’s marijuana in that pill!”

Case summary:

Mr. S. is a 68-year-old bus driver, who recovered well from the right lung lobectomy as he had a recent diagnosis of lung cancer. His incisions are healed well and he is ready for the chemotherapeutic sessions. The premedication orders include granisetron (Kytril) and also oral ondansetron (Zofran) to use at home.