¡@ Chemothrapy
Cisplatin, Actinomycin, and cyclophosphamide PAC

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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