Carney Pamela H, Ollom Cathy L
Vanderbilt Ingram Cancer Center, Nashville, TN 37232, USA.
J Infus Nurs. 2008 Mar-Apr;31(2):74-83. doi: 10.1097/01.NAN.0000313654.57786.bb.
Monoclonal antibodies (mAb) are potent agents with significant therapeutic advantages and represent the new standard of care in oncology. Although fairly well tolerated, a major health issue with mAbs is the development of infusion reactions that can range in severity from mild to life threatening. Therefore, it is critical to know how to manage these reactions when the first symptoms appear. Oncology nurses need to be proactive in monitoring, assessing, and managing infusion reactions throughout the entire course of therapy. Nurses are also instrumental in developing a protocol on how to address infusion reactions. Building a partnership with patients and caregivers ensures that patients are safely treated and can fully benefit from mAb therapy.
单克隆抗体(mAb)是具有显著治疗优势的强效药物,代表了肿瘤学的新治疗标准。尽管单克隆抗体的耐受性相当良好,但一个主要的健康问题是会出现输液反应,其严重程度从轻微到危及生命不等。因此,当出现最初症状时,了解如何处理这些反应至关重要。肿瘤学护士需要在整个治疗过程中积极主动地监测、评估和处理输液反应。护士在制定如何应对输液反应的方案方面也发挥着重要作用。与患者及护理人员建立伙伴关系可确保患者得到安全治疗,并能充分受益于单克隆抗体治疗。