Chemo-Bear                (Special side effects of chemotherapeutic agents)
Medication Side Effect

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(A) Adriamycin  
      (Doxorubicin)
Cardio-toxicity

Irreversible, dose-dependent

(B) Bleomycine Pulmonary toxicity

Progress from rales, to cough, to fibrosis
(C) Cis-platin Oto-toxicity

High-frequency hearing loss and tinnitus

Nephro-toxicity

Dose-related toxicity of the distal convoluted tubule and collecting duct; Ameliorate by aggressive hydration and diuresis
(M) Methotrexate Stomatitis/Mucositis

Ulcers of the mouth

Myelosuppression
(O) Cycl-O-Phosphamide Hemmorrhagic cystitis

Acrolein, a metabolite of the drug in the urine, causes cystitis.

Hydration & IV MESNA (sodium-2-mercaptoethane sulfonate) minimizes problem
(V) Vincristine Paresthesias of extremities
Loss of reflexes
Foot drop
Ataxia
Cellulitis
Phlebitis
 

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