If you are experiencing:

Fatigue and/or Anemia:

  1. Refer to page 18 in “Chemotherapy and You” and page 19-21 in “Eating Hints”.
  2. Keep active, but do not over exert.
  3. Keep most frequently used items within easy reach.
  4. If  breathing is difficult when lying down, use two or three pillows or raise the head of the bed on wooden blocks.
  5. Talk to us about your frustrations; worry and stress increase your fatigue.


Nausea and Vomiting:

  1. Refer to page 14 & 15 in “Chemotherapy and You” and page 13 & 14 in “Eating Hints”.
  2. Take your medication as directed by your physician.  If your medication is not working as well as you feel it should, please let us know.
  3. Eat a dry cracker or piece of toast before any activity in the morning.
  4. Don’t eat spicy, fried, or greasy foods.
  5. Apply a cold, wet cloth to the throat and forehead.
  6. Carry a plastic bag and twist-tie when traveling.
  7. Move slowly when changing positions from lying to sitting and standing.



  1. Refer to page 26 in “Chemotherapy and You” and page 17 in “Eating Hints”.
  2. Refer to “Discharge Instructions” for Lactulose order.
  3. Notify physician if no bowel movement in three days, abdomen becomes hard, tender, and distended, or if constipation is accompanied by nausea and vomiting.


Low White Blood Cells / Infection:

  1. Refer to hand out pamphlet on Blood Counts and Infections; and page 18-21 in “Chemotherapy and You”.
  2. Wear a mask that covers your nose and mouth when you cannot avoid people who might have infections.
  3. Report any sign of infections (burning urine, coughing with phlegm, elevated temp., etc.), to your  physician.


Low Platelets-Bleeding:

  1. Refer to page 22 in “Chemotherapy and You”.
  2. Use an electric razor when shaving.
  3. Do not use dental floss.
  4. When working, avoid bumps or scrapes.
  5. If cut, apply pressure to the area to stop the bleeding, if excessive bleeding go to the nearest emergency  room.
  6. Show us any bruises or changes in your skin.
  7. If you have a nosebleed, pinch the nostril tightly; apply ice or a cold wet cloth to the back of the neck.
  8. If you have a dental problem, be sure your dentist knows that your platelet count is low.


G.I. Toxicity:

  1. Possible side effects of chemotherapy are ulcers in the mouth, epigastric burning, and/or abdominal pain, bleeding from the stomach or intestines, nausea and/or vomiting, and loss of appetite.
  2. Report to physician—Blood in vomitus and/or tarry (bloody stools).
  3. Antacids may help epigastric distress, but unrelieved pain should be reported.