Chemotherapy Safety Precautions
Chemotherapy drugs are powerful medications that can be potentially dangerous to household members and caregivers. Most people receive chemotherapy by an intravenous route in a clinic and are monitored by nurses administering the drugs. Some people receive chemotherapy at home through small pumps or in pill form by mouth. All routes of administration require patients and caregivers to be aware of chemotherapy safety precautions, which should be followed diligently to prevent injury or illness 1.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Potential Exposure
Most chemotherapy safety precautions involve prevention of exposure to the medication as they leave the patient's body 1. The body eliminates most chemotherapy drugs within the first 48 hours following treatment. The drugs may be present in all body fluids, including urine, stool, vomit, blood, tears, semen and vaginal secretions. It is important for the patient, caregivers and other household members to avoid physical contact with body fluids for the first 48 hours after treatment to prevent accidental exposure to chemotherapy medications.
- Most chemotherapy safety precautions involve prevention of exposure to the medication as they leave the patient's body 1.
- It is important for the patient, caregivers and other household members to avoid physical contact with body fluids for the first 48 hours after treatment to prevent accidental exposure to chemotherapy medications.
Personal Hygiene
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For the first 48 hours after a chemotherapy treatment, patients should double flush after using the toilet. Use of a separate toilet may be a good option during this period. Frequent toilet cleaning to wipe away splashes reduces the possibility of accidental exposure among family members and pets. Always wear gloves when cleaning the commode. Thorough hand washing with soap and water before leaving the bathroom is essential. If body fluids contact the skin, wash the area immediately. Use disposable gloves when cleaning up body fluid accidents and discard them immediately after use.
Any clothing or linen that has been soiled with body fluids should be laundered separately. Wash the items in hot water with regular detergent. Family members should not share eating utensils or drinks for a couple of days following a chemotherapy treatment.
- For the first 48 hours after a chemotherapy treatment, patients should double flush after using the toilet.
- Use disposable gloves when cleaning up body fluid accidents and discard them immediately after use.
Preventing Infection
Because chemotherapy reduces the body's ability to fight infections, patients should take precautions to prevent infection. Those undergoing treatment should avoid people who are sick and large crowds. Frequent and thorough hand washing reduces the likelihood of contracting an infectious illness. Precautions to avoid minor cuts and scrapes also reduces the possibility of accidental infection.
- Because chemotherapy reduces the body's ability to fight infections, patients should take precautions to prevent infection.
Pregnancy Prevention
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Avoiding sexual activity or using a condom for the first 48 hours after chemotherapy prevents potential medication exposure through semen and vaginal secretions. Preventing pregnancy during and for a few months following the completion of treatment is important because chemotherapy drugs may cause birth defects. Many doctors recommend use of two different forms of birth control during this time. Discuss this issue with your doctor if you have questions. If pregnancy occurs during treatment, notify your doctor right away.
- Avoiding sexual activity or using a condom for the first 48 hours after chemotherapy prevents potential medication exposure through semen and vaginal secretions.
Other Considerations
Pregnant or breast feeding women should take extra caution when caring for a loved one undergoing chemotherapy treatment. A single chemotherapy exposure is unlikely to cause problems. However, repeated exposure can be dangerous. When patients take chemotherapy at home via small pumps or by mouth, additional safety instructions should be obtained from the doctor.
- Pregnant or breast feeding women should take extra caution when caring for a loved one undergoing chemotherapy treatment.
- A single chemotherapy exposure is unlikely to cause problems.
Related Articles
References
- American Cancer Society: Chemotherapy Principles, Safety Precautions
- Cancers for Disease Control and Prevention: Preventing Infections in Cancer Patients
- Schillert A, Trumpp A, Sprick MR. Label retaining cells in cancer--the dormant root of evil? Cancer Lett. 2013;341(1):73-9. doi:10.1016/j.canlet.2013.04.019
- Weeks JC, Catalano PJ, Cronin A, et al. Patients' expectations about effects of chemotherapy for advanced cancer. N Engl J Med. 2012;367(17):1616-25. doi:10.1056/NEJMoa1204410
- Pabla N, Dong Z. Curtailing side effects in chemotherapy: a tale of PKCδ in cisplatin treatment. Oncotarget. 2012;3(1):107-11. doi:10.18632/oncotarget.439
- Sreerama L. Alkylating Agents. In: Schwab M, editor. Encyclopedia of Cancer. Berlin, Heidelberg: Springer; 2011. doi:10.1007/978-3-642-16483-5_182
- Yardley DA. Drug resistance and the role of combination chemotherapy in improving patient outcomes. Int J Breast Cancer. 2013;2013:137414. doi:10.1155/2013/137414
- Modjtahedi H, Ali S, Essapen S. Therapeutic application of monoclonal antibodies in cancer: advances and challenges. Br Med Bull. 2012;104:41-59. doi:10.1093/bmb/lds032
- Gonzalez R, Cassaro S. Percutaneous Central Catheter (PICC). StatPearls Publishing. Updated February 11, 2019.
- Trüeb RM. Chemotherapy-induced alopecia. Semin Cutan Med Surg. 2009;28(1):11-4. doi:10.1016/j.sder.2008.12.001
- Hofman M, Ryan JL, Figueroa-moseley CD, Jean-pierre P, Morrow GR. Cancer-related fatigue: the scale of the problem. Oncologist. 2007;12 Suppl 1:4-10. doi:10.1634/theoncologist.12-S1-4
- Lundqvist EÅ, Fujiwara K, Seoud M. Principles of chemotherapy. Int J Gynaecol Obstet. 2015;131 Suppl 2:S146-9. doi:10.1016/j.ijgo.2015.06.011
- Joaquín-Mingorance M, Arbinaga F, Carmona-Márquez J, Bayo-Calero J. Coping strategies and self-esteem in women with breast cancer. Anales de Psicología. 2019;35(2). doi:10.6018/analesps.35.2.336941
- Nangia J, Wang T, Osborne C, et al. Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: The SCALP Randomized Clinical Trial. JAMA. 2017;317(6):596-605. doi:10.1001/jama.2016.20939
- Chaveli-lópez B. Oral toxicity produced by chemotherapy: A systematic review. J Clin Exp Dent. 2014;6(1):e81-90. doi:10.4317/jced.51337
- Apisarnthanarax N, Duvic MM. Photosensitivity Reactions. In: Kufe DW, Pollock RE, Weichselbaum RR, et al, editors. Holland-Frei Cancer Medicine. 6th Edition. Hamilton (ON): BC Decker; 2003.
- Brower V. Tracking chemotherapy's effects on secondary cancers. J Natl Cancer Inst. 2013;105(19):1421-2. doi:10.1093/jnci/djt273
- American Society of Clinical Oncology. Cancer.Net. Understanding Chemotherapy. Updated 05/2018.
- Longo, D. L. Harrison's Principles of Internal Medicine. 2017. New York: McGraw-Hill.
- National Cancer Institute. SEER Training Manual. Types of Chemotherapy Drugs.
- Niederhuber, J., Armitage, J., Doroshow, J., Kastan, M., and J. Tepper. Abeloff's Clinical Oncology: 6th Edition. 2019. Philadelphia: Churchill Livingstone/Elsevier.
Writer Bio
Katherine Bendickson began writing professionally in 2010 for LIVESTRONG.COM. She is a registered nurse specializing in oncology, and she has had an oncology nurse certification since 2005. Bendickson holds a Bachelor of Science in nursing from the University of South Carolina-Aiken.