¡@ ¡@ Chemothrapy
Cisplatin and Cyclophosphamide PC

l    weight: ____Kg.  Height: _____cm.  Bs:_______. Treatment courses: the __courses.

l    Start C/T protocol if data (BUN Cr, GOT, Na, K, Cl, CBC, DC, Platelet, EKG) O.K.

l      On diet as tolerable.

l     Record vital signs q4h, record I/O q8h, body weight QD.

l     Set up IV line 1 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,#7D5W N/S 500 c.c.          each run 500 cc./hr.

 

l    Antiemetics with

¡¼ #2 100 cc,         #3 100 cc. left for antiemetic solvent

1.  Tropisetron 1pc in 100 cc D5W (#2) IV drip in 10 min

2. Dexan 10 mg in 100 cc. D5W (#3) IV drip in 10 min

(1),(2). at 30 min. before cisplatin begins,

l   Cyclophosphamide (500, 750, 1000) mg/m2, total _____ mg IV push during #5~ #7.

l    Akineton 1 Amp IM prn if EPS attack.

l    Novamin 1 Amp IM q4h prn.

l   Please notified Dr. if urine < 200cc/8hrs, high fever, conscious change, or dyspnea.

 

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