Difference between revisions of "Example orders for mFOLFOX 6 in colon cancer"
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| + | Remember that example order sets that may contain additional information about supportive medications, suggestions for monitoring, hydration, and pre-treatment screening information for chemotherapy regimens are purely anecdotal, provided only as examples of what some other providers may be using, and are typically not based on references in the primary literature. | ||
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Revision as of 06:42, 17 June 2013
Use of this site is subject to you reading and agreeing with the terms set forth in the disclaimer.
Remember that example order sets that may contain additional information about supportive medications, suggestions for monitoring, hydration, and pre-treatment screening information for chemotherapy regimens are purely anecdotal, provided only as examples of what some other providers may be using, and are typically not based on references in the primary literature.
mFOLFOX 6
Original references may be found at mFOLFOX 6 (adjuvant) & mFOLFOX 6 (metastatic)
Example regimen #1
- Fluorouracil (5-FU) 400 mg/m2 IV bolus over 10-15 minutes on day 1 after oxaliplatin and leucovorin
- Fluorouracil (5-FU) 1200 mg/m2/day (total dose 2400 mg/m2) IV continuous infusion over 46 hours on days 1-2, given after 5-FU bolus
- Folinic acid (Leucovorin) 400 mg/m2 IV over 2 hours on day 1, given first, concurrently with oxaliplatin
- Mixed in 250 mL D5W.
- Oxaliplatin (Eloxatin) 85 mg/m2 IV over 2 hours on day 1, given first, concurrently with leucovorin
- Mixed in 500 mL D5W, and only infuse through D5W line.
14-day cycles x 12 cycles, to start within 10 weeks of surgery (if adjuvant); in metastatic settings, given until progression of disease or unacceptable toxicity
Supportive medications:
- Ondansetron (Zofran) 8 mg IV 30 minutes prior to oxaliplatin
- Dexamethasone (Decadron) 10 mg IV 30 minutes prior to oxaliplatin
- Lorazepam (Ativan) 0.5-1 mg PO prn nausea/anxiety, given 30 minutes prior to chemotherapy
- Calcium gluconate 1 g & magnesium sulfate 1 g (admixed together) IV, given over 30 minutes, to start prior to oxaliplatin to decrease likelihood of neuropathy
- Calcium gluconate 1 g & magnesium sulfate 1 g (admixed together) IV, given over 30 minutes, to start after oxaliplatin infusion is complete to decrease likelihood of neuropathy
Hydration:
- 500 ml D5W at KVO rate as running IV for chemotherapy infusion. Give up to 500 ml D5W.
Monitoring:
- Hold if ANC <1500 or platelets <75 and notify physician.