Assess airway patency and respiratory status every hour until stable.
Maintain semi-Fowler’s position, supporting arms.
Encourage to turn, cough, and deep breathe every 2 to 4 hours.
Teach the importance of activity, turning, coughing, and deep breathing.
Monitor daily weights.
Blood pressure monitoring for hypertension is important in patients taking sorafenib or sunitinib
Consult with dietitian to assess calorie needs and plan appropriate enteral feeding. Assess response to enteral feedings.
Allow adequate time for communication efforts.
Keep emergency call system in reach at all times and answer light promptly. Alert all staff of inability to respond verbally.
Encourage expression of feelings regarding perceived and actual changes.
Patients taking tyrosine kinase inhibitors may experience rash. Instructing patients on care of the rash and frequent nursing assessment are imperative to prevent possible infections and nonadherence because of the rash’s visibility.
Teach basic skin care such as washing with mild soap and water and recommended topical applications to help treat the rash.
Provide emotional support, encourage self-care and participation in decision making.
Patients also should be instructed on adequate hydration and the importance of eating regularly.
