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PMF : Cisplatin,
Mitomycin and 5-FU Chemotherapy order: |
|
weight: ______Kg.
Height: _______cm. m2:_______. Treatment courses: the
____courses. |
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l
Start
C/T protocol if data (BUN Cr, GOT, Na, K, Cl, CBC,
DC, Platelet, EKG) O.K. |
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l
On
diet as tolerable. |
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l
Record
vital signs q4h, record I/O q8h, body weight QD. |
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l
Set
up IV line on day 1 with |
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#4 Cisplatin
100 mg/m2, total _____ mg in 500 cc. N/S IV drip in 1 hr. |
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#5 20% mannitol
300 c.c. IV drip in 30 min. |
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#6 N/S
500 c.c. run
500 cc./hr. |
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then
L-R + 1 Amp Vit C + 10 meq
KCl run
125 c.c./hr. |
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l
Day
2 - 5 IV fluid keep with |
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#1, #3, #5 D5S + 2 c.c.
B-complex |
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#2, #4, #6 L-R + 1 Amp Vit
C + 10 meq KCl alternatively run 125 c.c./hr. |
|
l
5-FU
1000 mg/m2 total
____mg divided in #l, #2, #3, #4,
#5 bottle for 24 hours IV |
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infusion on D2, D3, D4, D5. |
|
l
Mitomycin 10 mg/m2 total ____mg IV push during #4
on D2. |
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l
Antiemetics
with |
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□ #2 100 cc, #3
250 cc. left for antiemetic solvent |
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1.Zofran
8 mg in 100 cc D5S (#2) IV drip in 10 min. |
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2.Dexan 10 mg in 100 cc.
D5S (#3) IV drip in 10 min. |
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(1),(2).
at 30 min. before cisplatin
begins and repeat q8h x 3 doses. |
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l
Akineton 1 Amp IM prn if EPS
attack. |
|
l
Novamin 1 Amp IM q4h prn. |
|
l
Dexamethasone 10 mg iv prn, then q4h x 3 doses. |
|
l
Check
BUN Cr, GOT, Na, K, Cl, CBC, DC, Platelet QD. |
|
l
Please
notified Dr. if urine < 200cc/8hrs, high fever,
conscious change, or dyspnea. |
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l
Oral
medications: |
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(a)Primperan 3# qid. |
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(b)Ativan 1# qid prn nausea or emesis. |
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(c)Zofran (4mg) 2# q8h. |
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(d)Dexan 2# bid x 3 days, 1# bid x 2days. |
