VAC Vincristine, actinomycin-D, cyclophosphamide
chemotherapy order
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weight: ______Kg. Height: _______cm. m2:_______.
Treatment courses: the ____courses. |
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Start C/T protocol if data
(BUN Cr, GOT, Na, K, Cl, CBC, DC, Platelet, EKG)
O.K. |
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On diet as tolerable. |
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Record vital signs q4h,
record I/O q8h, body weight QD. |
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Set up IV line 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. |
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Vincristine l.5/m2 total _____mg (maximal 2.5 mg/m2) IV
bolus during #3 bottle on D1. |
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Actinomycin-D 0.35 mg/m2/day total ____ mg/day (maximal 0.5
mg/day) IV bolus |
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during #4 bottle
N/S on D1, D2, D3, D4. D5. |
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Cyclophosphamide (100, 150, 200) mg/m2/day total ____mg/day IV bolus
during #5 |
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bottle N/S on D1,
D2, D3, D4. D5 |
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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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Akineton 1 Amp IM prn if EPS attack. |
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Novamin 1 Amp IM q4h prn. |
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Dexamethasone 10 mg iv prn,
then q4h x 3 doses. |
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Check BUN Cr, GOT, Na, K, Cl, CBC, DC, Platelet QD. |
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Please notified Dr. if urine < 200cc/8hrs, high fever, conscious change, or
dyspnea. |
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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. |