Discover this podcast and so much more

Podcasts are free to enjoy without a subscription. We also offer ebooks, audiobooks, and so much more for just $11.99/month.

Episode 020: Pharmacology 101: Part 1

Episode 020: Pharmacology 101: Part 1

FromThe Fellow on Call: The Heme/Onc Podcast


Episode 020: Pharmacology 101: Part 1

FromThe Fellow on Call: The Heme/Onc Podcast

ratings:
Length:
20 minutes
Released:
Jul 6, 2022
Format:
Podcast episode

Description

Picture this: it's day 1 of fellowship and your attending needs you to "get consent for treatment." Huh? How do you educate your patient? We share our tips! In this episode, we discuss the fundamentals and some of our favorite resources. *********The resources we share are our OWN opinions. Naming of resources are not endorsements. We are not sponsored by any of these entities. *********1) How do you know what regimen to use for a disease?* www.NCCN.org : ** National Comprehensive Cancer Network** Free resource, but need to make an account!** Provides stepwise approach to workup, choosing a regimen, and surveillance information, treatment for refractory disease* www.HemOnc.org : **Organized by disease type with long lists of treatment options** Provides a breakdown of regimen, but also provides the primary literature that lead to the regimen’s approval for use!**We cannot highlight how important it is to remember to check out the primary literature!2) Patient education: Use these to drive discussion; you still want to walk your patients through these* www.Oncolink.org : Ronak’s favorite resource * www.Chemocare.com : Vivek and Dan’s favorite resource3) Basic Terminology: * Cycle: The number of days between one round of treatment until the start of the next; abbreviated with “C”* Days: Counts the actual days within a cycle; abbreviated with “D”* Example: C1D1: Cycle 1 of a regimen, day 1 of this cycle4) Dosing:* Always have updated height and weight for patients** Many drugs are dosed based on body surface area (BSA)** Other drugs use area under the curve (AUC)* Always get a CMP and CBC prior to giving treatment 5) General categories of cancer therapies:* Cytotoxic: Kills cells in the body** Analogous to antibiotics killing bacteria ** Relatively non-specific in terms of what cells they target; but they’re often specific for parts of the cell replication cycle * Immune therapy: Harness the immune system to attack cancer** More specific than cytotoxic agents* Targeted therapy: Drugs made specifically for known mutations ** A cancer with a distinct mutation in a protein is then a target for this drug** In general:***“Mab”- antibody targeted for phenotypic expression***“ib”- small molecule for driver mutation** Targeted cytotoxic chemotherapy: a monoclonal antibody specific for a mutation linked to very potent chemotherapyPlease visit our website (TheFellowOnCall.com) for more information Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast
Released:
Jul 6, 2022
Format:
Podcast episode

Titles in the series (100)

We quickly realized we knew very little about hematology and oncology when we started fellowship. Our goal is to bring you the fundamentals, core concepts and important management approaches in our field, driven by the latest evidence and expert opinion. In each episode, we will provide bite-sized, simplified approaches to common questions in a way that is perfect for anyone interested in hematology and oncology, from students and trainees to advanced practice providers and practicing physicians.