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Dosing for High Dose MTX
What is 3.5gm/m2 or greater
IVF Cont at minimun pre MTX
WHAT is at least 6 hours?
Should be sent immediately after the MTX infusion is completed, 18
and 24 hours after the start of the MTX infusion, and then every morning thereafter
What is MTX level?
When should I be concerned about given HD MTX
What is if patients renal function is bad, if patient has ascites and if patient has an effusion?
Given to patients who never receieved chemo?
What is chemo education and teaching books?
HIGH dose MTX treats
What is CNS lymphoma, at risk for CNS lymphoma
Purpose of IVF and chemo parameters in order to start
What is
Urine output > 125 mL/h over 6 hours
At least 2 sequential measurements of urine pH ≥ 7, recorded at least 1 hour apart
Starting 24 hours after the start of the methotrexate
infusion:
What is Leucovorin?
Given as an Outpatient before admission for HD MTX as treatment for CNS Lymphoma
What is Rituxan?
Routes of MD MTX?
What is IV?
Steps to Prepare for HD MTX admit
What SOP, NCCN guidelines, Chemo worksheet, Log sheet, chemo consent?
MTX infusion should last
WHat is at least 4 hours unless states in orders?
Leucovorin should be given until
What is MTX level is < 0.2 μmol/L.
In order to give chemo, I need
What is chemo consent, second check on chemo orders after released, Prelabs and IV access.
Protect you and patient when giving chemo
What is gowns, double gloves, eye mask, and needless chemo adapters, pre-primed tubing
START once patient is admitted for HD MTX
WHAT is IVF (D5W +sodium bicarb)?
Monitored every shift, throughout the infusion, an daily
What is weight, u/a , i/o and MTX levels?
Used to change doses of Leucovorin
MTX level chart
Who signs chemo orders
What is Attending MD
I dont know what to do
WHAT IS STOP, ASK-- NEVER PROCEED?
MTX affects
What is Kidney Function?
Consider giving if urine output is low
What is lasix?
Patients will be discharged and asked to take
What is sodium bicarbonate 650 mg PO
q6h for 6 doses after discharge?
Find Chemo and MTX SOP
What is Policy Tech
Done at change of shift for high alert meds
What is CHEMO hand off at bedside?