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Chemothrapy |
| Cisplatin, Actinomycin, and cyclophosphamide | PAC | |
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weight: ______Kg. Height: _______cm. Bs:_______. Treatment courses: the ____courses. Start C/T protocol if data (BUN Cr, GOT, Na, K, Cl, CBC, DC, Platelet, EKG) O.K. On diet as tolerable. Record vital signs q4h, record I/O q8h, body weight QD. Set up IV line with #1 D5W 500 cc #2 D5S 500 cc. #3 D5W 500 cc. each run 500 cc./hr #4 Cisplatin 100 mg/m2, total _____ mg in 500 cc. N/S IV drip in 1 hr #5 20% mannitol 300 c.c. IV drip in 30 min. #6,#7 D5W 500 c.c. each run 500 cc./hr. Adrimycin 50 mg (Epirubicin 75 mg)/m2, total _____mg IV push during #5 or #6. Cyclophosphamide (500, 750, 1000) mg/m2, total _____ mg IV push during #5 or #7. Antiemetics with ¡¼ #2 100 cc, #3 250 cc. left for antiemetic solvent Zofran 8 mg in 100 cc D5S (#2) IV drip in 10 min. Dexan 10 mg in 100 cc. D5w (#3) IV drip in 10 min. (1),(2). at 30 min. before cisplatin begins and repeat q8h x 2 doses. Akineton 1 Amp IM prn if EPS attack. Novamin 1 Amp IM q4h prn. EKG 30 min after adrimycin. Please notified Dr. if urine < 200cc/8hrs, high fever, conscious change, or dyspnea.
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