White blood cells fight infection: resistance to infection is lowered when the white blood count drops. White cell numbers usually improve without any treatment but injections (also known as GCSF) may be prescribed to aid white cell recovery.
Red blood cells carry oxygen: occasionally chemotherapy causes mild anaemia, which might lead to tiredness, breathlessness and dizziness.
This usually settles without treatment but sometimes requires a blood transfusion.
Platelets help the blood clot. Low platelet counts can cause nose bleeds, easy bruising or bleeding and gum bleeding when brushing your teeth. The platelet count usually recovers but very rarely a platelet transfusion may be necessary.
Some combinations of chemotherapy drugs are more likely to cause a low white blood cell count. Patients on these treatments will be given GCSF blood count injections the day after each cycle of chemotherapy to minimise the risks of infection.
For other chemotherapy treatments, GCSF may be given to patients who suffer repeated low white blood counts.
Occasionally a more permanent form of access to the vein may be required to administer chemotherapy. These devices usually stay in for the duration of the treatment. Different types of venous access device are used:
Your chemotherapy nurse will let you know if you need a venous access device.
Further information is available at Kent Vascular Access.
All patients are assessed prior to each cycle of chemotherapy, either by a doctor or a senior chemotherapy nurse, in the oncology clinic.
Any necessary modifications to the treatment or anti-sickness drugs will be made in the clinic, so please let the doctors or nurses know which side effects you have experienced.
Holidays abroad are best avoided until after chemotherapy is complete. Travel insurance for people being treated for cancer can be very costly. More information is available via the Macmillan Website.