"Unfortunately, patients are experiencing anaphylactic or anaphylactoid reactions to potentially life prolonging agents," explained Held-Warmkessel. "Oncology nurses are the first to respond and are the patients' best resource at such a difficult time."
An anaphylactoid reaction may develop in a patient without prior exposure to the agent, whereas an anaphylactic reaction develops in the patient that has been previously exposed. "The severity of the reaction will play a major part in whether the same medications should be used again - in a re-challenge or desensitization procedure - or a new agent prescribed," said Held-Warmkessel.
Considerations for a re-challenge include evaluating the effectiveness of the alternate agents, assessing the loss of or delay in potentially curative therapy, analyzing the likelihood of reaction recurrence and allaying the patient's anxiety. "Many patients receiving medications that may cause an allergic reaction will be successfully re-challenged," said Held-Warmkessel.
Held-Warmkessel says it's critical to closely monitor all patients receiving therapy, before, during and after treatment. Successful management of the pat
'"/>
Contact: Colleen Kirsch
colleen.kirsch@fccc.edu
215-728-7784
Fox Chase Cancer Center
27-Apr-2004