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PI: Cisplatin and Ifosphamide chemotherapy order |
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Weight: ______Kg. Height
: _______cm. Bs:_______. Treatment courses: the ____courses. |
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1.
Start C/T protocol if data (BUN Cr, GOT, Na, K, Cl,
CBC, DC, Platelet, EKG) O.K. |
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2.
On diet as tolerable. |
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3.
Record vital signs q4h, record I/O q8h, body weight QD. |
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4. Set up IV line with : |
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#1 D5W 500c.c
#2 D5S 500c.c #3 D5W
500c.c each run 500c.c/hr |
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# 4 Cisplatin 50 mg/m2, total
_____ mg in 500 c.c. N/S IV drip in 1 hr. on D1. |
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#5 20% mannitol 300c.c IV
drip in 30 min. #6,7.D5w 500c.c. Each run 500c.c/hr. |
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Antiemetics with |
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5. □ #2 100 c.c, #3 100c.c. left for antiemetic solvent |
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1.Zofran 8 mg in 100 c.c D5W (#2) IV
drip in 10 min. |
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2.Dexan 10 mg in 100 c.c. D5W (#3) IV drip in 10 min |
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(1),(2).
At 30 min. before cisplatin begins then q8h x 3
doses. |
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6. Ifosphamide
(5,10) gm/m2, total ______mg divided in 5 days IV push on
D1:____gm, |
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D2:____gm,, D3:____gm,, D4:____gm, D5:____gm. |
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7. Mensa (5, 10) gm/m2,
total ______mg divided in 5 days, on D1:____gm, D2:____gm, |
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D3:____gm, D4:____gm, D5:____gm, D6:___gm |
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8.
D1 to D2 is D5W 2000c.c run 24hrs , D3 is D5W
1000ml run 12hrs. |
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9. Akineton 1
Amp IM prn if EPS attack. |
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10.
Novamin 1 Amp IM q4h prn.
If vomiting |
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11.
Please notified Dr. if urine < 200cc/8hrs, high fever, conscious
change, or dyspnea. |
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12.
Primperan 3# qid and ativan 1# qid from D2 to D6 (to
be used when nausea and |
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Vomiting on primperan) |
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13.
Dexan 2# bid × 3d , 1# bid × 2d ( D2~D6 ) |
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14.
Record I/O q8h |