When To Call The “Your illness does not Management of

Office define you. Your strength

and courage does.” Diarrhea in
More than 3 loose stools in 24
hours -Unknown Patients
Black stools Receiving
Blood in stools
Dark (concentrated) urine Chemotherapy
Fever of 100.4 degrees F (38
degrees C)
Flushed, dry skin
Dizziness
If stools DO NOT decrease with
diet and drug recommendations

Taussing Independence Cancer

Center
Refrences
•••
Cancer, C. C. (n.d.). Diarrhea and chemotherapy. Chemocare. Retrieved
September 27, 2022, from 5001 Rockside Road
https://chemocare.com/chemotherapy/side-effects/diarrhea-and-
chemotherapy.aspx
Independence, OH 44131
Stein A, Voigt W, Jordan K. Review: Chemotherapy-induced diarrhea:
pathophysiology, frequency and guideline-based management. •••
Therapeutic Advances in Medical Oncology. 2010;2(1):51-63.
doi:10.1177/1758834009355164 216-524-7979
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“You may have to fight a
battle more than once to win
Goals
Teach patients how much fluid intake they
need in a day.
Teach patients which foods they need to
limit and which foods they need to avoid
completely.
Teach patients the proper administration
on Imodium while receiving chemotherapy.
Tach patients and family the proper
techniques for handling bodily fluid that
may contain chemo.
Teach patients and families when a call to
the office is necessary.
Daily Fluid Intake
Drink plenty of fluids
2-3 quarts or 8-12 cups per day.
Examples: Water, juice, broth, soup, Jell-O,
popsicles, etc.
Whole grain cereal/bread and nuts
Gas forming foods and beverages: beans,
How To Manage Diarrhea
Take Imodium (Loperamide): This is
it.” available to buy over the counter.
- MARGARET
THATCHER
After the first episode of loose/watery stool
Take 2 tablets
Foods To Limit
After the second episode of loose/watery stool
Caffeinated foods and beverages:
Take one more tablet
Coffee
After the third episode, take one more tablet
and call the office.
Strong tea and soda
Do not exceed 8 tablets in 24 hours!
Extremely hot or cold beverages.
Handling Bodily Waste
Chemo is in the body and bodily fluids for
48 hours.
Make sure to use detergent to clean any
bed pans and make sure to rinse well and
pour into toilet. Flush rinse down toilet
Foods To Avoid with lid down to avoid any splash.
Greasy, fatty, or fried foods Immediately wash any soiled clothes or
bedding with detergent and hot water in a
Raw vegetables and fruits
cycle separately from other items.
Strong spices
If any waste comes into contact with skin,
wash area with soap and water for five
minutes. Watch skin for the next seven days.
If you notice any redness or irritation, seek
cabbage, carbonated drinks. medical help.
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