Difference between revisions of "Example orders for weekly 5-FU & Leucovorin in colon cancer"

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m (Text replacement - "====Supportive medications" to "====Supportive therapy")
m (Text replacement - "Folinic acid (Leucovorin)" to "Leucovorin (Folinic acid)")
 
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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.
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===Example regimen #1===
 
===Example regimen #1===
*[[Folinic acid (Leucovorin)]] 20 mg/m<sup>2</sup> IV over 2 hours on days 1, 8, 15, given first
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*[[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
  

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

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.