Supportive Care of Children With Cancer: Current Therapy and Guidelines from the Children's Cancer Group
Because six of every seven children and adolescents with cancer can now be cured, the quality of life during and after treatment is displacing cure as the paramount objective. With this shift in emphasis, attention to supportive care in pediatric cancer therapy has become as important as surgery, chemotherapy, and radiotherapy. In this book, now in its second edition, the discipline of supportive care in pediatric oncology is covered in depth. Supportive Care of Children with Cancer is a ready-reference handbook designed for use at the hospital bedside, in the oncology outpatient clinic, or in the physician's office. Five new chapters have been added and significant revisions have been made in each of the others. The new chapters reflect new ideas in the management of heretofore incompletely understood mechanisms of hemorrhage and thrombosis, the recognition of the increasing numbers of patients with various kinds of transplants and the more prominent role their long-term follow-up plays in pediatric oncology, the socioeconomically driven rapid changes in the practice and delivery of health care, and the deservedly increased attention to the child with terminal illness. Other important changes in individual chapters continue to keep this bedside handbook current. Approaches to supportive care were recommended by leading experts in each field, then critically reviewed by members of the Children's Cancer Group, the world's largest cooperative study group for children's cancer. For students, house officers, fellows, pediatric oncologists, surgeons, nurses, nutritionists, social workers, and psychologists, this book provides convenient access to essential information about the care of pediatric oncology patients.
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The Prevention of Infection
Prophylaxis Against Pneumocystis Carinii
The Management of Fever Without Neutropenia
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Ablin abnormalities acyclovir administered analgesia and/or anemia anthracycline antibiotic therapy antiemetic assessment biopsy blood cultures calcium cardiac catheter cells/mcL chemotherapy child children with cancer Clin clinical complications concentration creatinine cyclophosphamide daily daunorubicin day IV divided decrease diagnosis Diphenhydramine disease divided q8h DLCO dosage dose drug dysfunction echocardiogram Etiology extravasation fever fluid function furosemide g/dL granulocyte guidelines hematuria hemoglobin hepatitis hypercalcemia ifosfamide immunization increased infection infusion irradiated L-Asparaginase leukemia liver malignancy maximum methotrexate mg/dL mg/kg per day mg/kg/day rv divided mg/mL mL/kg mL/m2 per hour monitoring morphine mucositis naloxone nausea and vomiting neutropenia normal Oncol Oncology Ondansetron opioid oral pain patients Pediatr peripheral plasma platelet platelet count Prevention prophylaxis radiation therapy recommended red cells regimen renal respiratory rhuGM-CSF risk sedation serum side effects solution symptoms syndrome Tablets tion TMP/SMX toxicity transfusion treatment tumor Tumor lysis syndrome urine output vaccine vancomycin venous Vincristine virus