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Your Guide to Intraperitoneal Chemotherapy (4208)

Your Guide to Intraperitoneal Chemotherapy (4208) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Cancer, BMT, Hematology


Your Guide to Intraperitoneal Chemotherapy

Intraperitoneal (IP) Chemotherapy (chemo) is a method that allows chemotherapy to be given
into the abdomen. This treatment allows the drug to be sent to the cancer sites with fewer side
effects to the rest of the body.

How is it Given?

An implanted port is placed beneath the skin in your
belly during a brief procedure. Your IP chemotherapy
will be given through the catheter of this port.

Figure 1

There are two parts to the implanted catheter: a port and a thin tube. The port is a small chamber
with a rubber disc (septum) on the top. The needle is placed into the rubber disc. The disc is
self-sealing and can be punctured many times. The thin tube attached to the port is placed within
the abdomen.

A needle will be placed through the skin and into the port so that the chemotherapy can be given.
(Figure 2). Your nurse may use a cream
to numb the skin before the needle is
Figure 2

This will feel like an IV needle puncture
or a shot. During the treatment, the
needle will be taped in place. A small dressing will cover the site. When the treatment is
finished, the needle will be removed. Since the port is under your skin, no bandages or dressings
will be needed between treatments. You may bathe, shower, or swim without worry. The port
does not need any care on your part.

Where Is the Treatment Given?

IP chemotherapy may be given to you while you are in the hospital or in the clinic. A nurse
trained in giving chemo will give the drug. They will also watch you closely during the

How Is the Treatment Given?

The treatment is given through IV tubing through your port or catheter into your belly. You will
receive a total of 2 liters of fluid. This helps the chemotherapy to reach all parts of the abdomen.

The treatment takes several hours. The fluid will
be left in the abdomen to be absorbed with time.
During the treatment, you may notice a feeling of
fullness and swelling of the abdomen. This will
lessen in a few days.

IV fluids will be given into your veins to increase
the amount of fluids in your system. It also
allows other medicines such as anti-nausea drugs
to be given.

You will need to stay in bed during the treatment
to keep the catheter in the proper place. After the
chemotherapy has been administered, your nurse
will instruct you to roll from side to side for 2
hours. This action helps to evenly spread the

Possible Side Effects of IP Chemo

ξ Nausea and vomiting - Medicines to decrease these symptoms will be given to you before
your treatment and when you go home.

ξ Bloating - You may notice pressure that will slowly decrease after the treatment. Pressure
from the abdomen may make it hard for you to take a deep breath. This may cause you to
breathe faster and take more shallow breaths. Raising the head of your bed will help in most
cases. The increase in pressure can also cause a decrease in appetite. Try eating smaller
meals more often. Changes in bowel habits, either diarrhea or constipation, may be caused
by the treatment. Medicines can be given if this happens.

ξ Frequent urination - The abdominal pressure along with the extra fluid given to you may
cause you to urinate more often. It is important to drink as much fluid as you can after the
treatment to flush the chemotherapy out of your system. Abdominal fullness may last for
several days. Plan to bring pants or a skirt with an expandable waistline to wear home from
the hospital.

ξ Peritonitis - This is the inflammation of the lining around the abdomen. Although rare, this
can be the result of the chemotherapy. It may also be a sign of an infection. It can cause
abdominal pain, chills, or fever. If you have any of these symptoms during or between
treatments you should call your doctor or nurse right away.

ξ Extravasation - This may occur if the needle becomes dislodged from the port during
treatment. If this happens chemotherapy can leak into the tissue. Although this leakage
rarely occurs, if it does happen, it may cause damage to your skin at the site. To prevent this,
we ask you to remain in bed during the treatment.

ξ Other Symptoms - The type of drugs used for your treatment, will affect which side effects
you have. Your doctor or nurse will discuss these with you.

When to call your doctor

Call your doctor if you have

ξ Any unusual abdominal pain
ξ Your waistline gets larger between treatments
ξ Chills, or fever greater than 100 θ F
ξ Shortness of breath
ξ Nausea or vomiting that doesn’t go away after a few days
ξ Diarrhea or constipation that doesn’t go away after a few days
ξ Soreness, redness, or swelling around the port or catheter site
ξ You notice a change or increase in vaginal fluid

Reproduced, with permission, from Clinical Guideline to Antineoplastic Therapy: A Chemotherapy Handbook
(2001) Mary Magee Gullatte, RN, MN, ANP, AOCN

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 5/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4208.