|Chemotherapy Through Cardiovascular System|
|Copyright © Nucleus Medical Media, Inc.|
- Anemia —due to chemotherapy , which can kill red blood cells and affect the blood-forming cells in bone marrow
- Poor nutrition and dehydration —due to loss of appetite, nausea, and vomiting
- Lack of oxygen—due to fewer red blood cells, which carry oxygen
- Hormonal changes—due to hormonal therapies, side effects of treatment, or type of cancer, such as thyroid cancer
- Lack of sleep
- Side effects of medicines
- Undergoing cancer treatment (eg, chemotherapy, radiation , biologic response modifier therapy)
- Worsening of cancer
- Having a pre-existing condition (eg, poor nutrition, breathing impairment)
- Having a history of depression or having family members with depression
- Extreme fatigue that is far worse than ordinary fatigue and that is not relieved by sleep
- No energy to do basic tasks, such as cooking dinner, making the bed, or answering the door
- Trouble concentrating and remembering
- Heaviness of arms and legs
- Poor balance
- Shortness of breath
- Impatience, irritability
- Have your symptoms been worsening? When do your symptoms appear and how long do they last?
- What medications are you taking?
- How often do you sleep and for how long?
- What are you eating?
- What makes you feel better? Worse?
- Have you been depressed?
- How has your work status and financial condition been affected by cancer?
- What kind of support system do you have?
- Medicines to treat the underlying condition (such as anemia)
- Do a light to moderate program. This may be to walk 15-30 minutes a day.
- Learn your exercise limits.
- Identify the times of day when you have the most energy.
Follow proper sleep and relaxation techniques:
- Relax before bed by listening to music or reading.
- Try not to nap for more than one hour.
- Get at least eight hours of sleep.
- Eat a healthy diet .
To help you have more control, schedule time to:
- Talk with a therapist to help you cope with your diagnosis.
- Talk with your employer about your work schedule and workload.
- Talk with a financial advisor to help you with your costs and to plan for the future.
American Cancer Society http://www.cancer.org/
National Cancer Institute http://www.cancer.gov/
Canadian Cancer Society http://www.cancer.ca/
National Cancer Institute of Canada http://www.ncic.cancer.ca/
Cancer, chemotherapy, anemia and fatigue: what’s the connection? Anemia Institute website. Available at: http://www.anemiainstitute.org/index.php/en/Patient/Anemia-and-Cancer/Cancer,-Chemotherapy,-Anemia-and-Fatigue-What%E2%80%99s-the-Connection . Accessed November 19, 2008.
Cancer fatigue: it’s more than just being tired. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/pointOfCare/perc-about . Updated January 2007. Accessed November 8, 2008.
Cancer fatigue: why it occurs and how to cope. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/cancer-fatigue/CA00032. Updated July 2007 . Accessed November 19, 2008.
Coping with fatigue from chemotherapy. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/pointOfCare/perc-about . Updated July 2008. Accessed November 8, 2008.
Fatigue and cancer. International Cancer Council website. Available at: http://iccnetwork.org/cancerfacts/ICC-CFS12.pdf . Accessed November 19, 2008.
Feeling tired vs. cancer-related fatigue. American Cancer Society website. Available at: http://www.cancer.org/docroot/MIT/content/MIT%5F2%5F3X%5FCancer-Related%5FFatigue%5FPlagues%5FMany%5FPatients.asp?sitearea=MIT . Updated October 2008. Accessed November 8, 2008.
Lower EE, Fleishman S, Cooper A, et al. Efficacy of dexmethylphenidate for the treatment of fatigue after cancer chemotherapy: a randomized clinical trial. J Pain Symptom Manage . 2009 Nov;38(5):650-62.
Minton O, Richardson A, Sharpe M, Hotopf M, Stone PA. A systematic review and meta-analysis of the pharmacological treatment of cancer-related fatigue. J Natl Cancer Inst . 2008 Aug 20;100(16):1155-66.
Radiation therapy. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/pointOfCare/perc-about . Updated March 2008. Accessed November 8, 2008.
Stedman’s Medical Dictionary. 28th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2005; 298.
What to do when you feel weak or tired. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/wtk/fatigue . Accessed November 8, 2008.
- Reviewer: Mohei Abouzied, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -