GI Toxicity – Nursing Assessment

  • Does the patient appear weak?
  • Has the patient lost weight?
  • Does the patient appear dehydrated?
  • Does the patient appear in distress?
  • Quantity & quality of bowel movements (e.g., change in/increased frequency over baseline): solid, soft, or liquid diarrhea; dark or bloody stools; or stools that float
  • Fever
  • Abdominal pain or cramping
  • Increased fatigue
  • Upset stomach, nausea, or vomiting
  • Bloating/increased gas
  • Decreased appetite or food aversions
  • Serum chemistry/hematology abnormalities
  • Infectious vs immune-related adverse event causation
  • Peritoneal signs of bowel perforation (i.e., pain, tenderness, bloating)