Difference between revisions of "Example orders for weekly 5-FU & Leucovorin 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. | 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. | ||
| Line 15: | Line 10: | ||
===Example regimen #1=== | ===Example regimen #1=== | ||
| − | *[[Folinic acid | + | *[[Leucovorin (Folinic acid)]] 20 mg/m<sup>2</sup> IV over 2 hours on days 1, 8, 15, given first |
*[[Fluorouracil (5-FU)]] 500 mg/m<sup>2</sup> IV bolus on days 1, 8, 15, given 1 hour after start of leucovorin | *[[Fluorouracil (5-FU)]] 500 mg/m<sup>2</sup> IV bolus on days 1, 8, 15, given 1 hour after start of leucovorin | ||
'''28-day cycles''' | '''28-day cycles''' | ||
| − | ====Supportive | + | ====Supportive therapy==== |
*Prochlorperazine (Compazine) 10 mg PO prn nausea | *Prochlorperazine (Compazine) 10 mg PO prn nausea | ||
| Line 27: | Line 22: | ||
Monitoring: | Monitoring: | ||
| − | *Hold if patient has significant diarrhea/mucositis, ANC | + | *Hold if patient has significant diarrhea/mucositis, ANC less than 1000, or platelets less than 100 and notify physician. |
'''Comments:''' | '''Comments:''' | ||
Latest revision as of 15:29, 29 September 2023
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.
Weekly 5-FU & Leucovorin
Original references may be found at weekly 5-FU & Leucovorin
Example regimen #1
- Leucovorin (Folinic acid) 20 mg/m2 IV over 2 hours on days 1, 8, 15, given first
- Fluorouracil (5-FU) 500 mg/m2 IV bolus on days 1, 8, 15, given 1 hour after start of leucovorin
28-day cycles
Supportive therapy
- Prochlorperazine (Compazine) 10 mg PO prn nausea
Hydration:
- 500 ml NS at KVO rate as running IV for chemotherapy infusion. Give up to 500 ml NS.
Monitoring:
- Hold if patient has significant diarrhea/mucositis, ANC less than 1000, or platelets less than 100 and notify physician.
Comments:
- My institution administers this regimen with a 3 weeks on, 1 week off schedule for every 28-day cycle.