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Chemotherapy Administration

How is chemotherapy is given?

The drugs used in chemotherapy are very powerful. Chemotherapy agents are usually only given by oncologists, usually medical or pediatric oncologists (specialists in the medical treatment of cancer), and hematologists (specialists in diseases of the blood), although some surgical and gynecological oncologists also give chemotherapy.

The drugs can be delivered to our circulatory system by many different routes. They may be taken orally in capsule, or liquid form. They can be injected through a syringe into a vein, artery, or muscle. Or, they can be given intravenously though an IV drip device or can also be injected into the spinal fluid. The decision on what route to use depends on several factors, mainly the type of tumor and the drug being used. Ultimately, the decision will be made on the basis of what is the most effective way to get the highest dosage of the right drug to the right place. Whichever route is chosen, your healthcare team will give you and your family or friends complete information on the usual effects of the drug, its side effects, any safety precautions to take and what reactions to report.

Where will the chemotherapy be given?

Some chemotherapy drugs require the patient to stay in the hospital for a few days. Other types of chemotherapy can be given in an outpatient setting, here known as the Ambulatory Infusion Unit. Trained oncology registered nurses administer the chemotherapy prescribed by the doctor and monitor the patient for side effects.

If pills, liquids, or capsules have been prescribed, you can take them at home or at work. Whether or not you are receiving chemotherapy as an in-patient or an outpatient, you will still need to see the doctor at specified intervals so your response to therapy can be assessed.

How long will the treatments last?

Cancer therapy is a fast-changing field, with new treatment schedules always being tested. Apart from the ever changing recommended treatments, every person is different, every tumor is different, and every chemotherapy program is tailored to fit the situation.

How will I know if the chemotherapy is working?

There are several ways to tell if a tumor is responding to treatment. The methods are similar to those used to diagnose the tumor-physical examination, x-rays, blood tests, and scans. These same tests will have been done before treatment to establish a baseline for future comparisons. Your physician will decide how often the above tests will be done to determine response.