Oncology - care of the oncology patient admitted to PICU - drugs
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- DO NOT give steroids to patients with leukemia unless expressly prescribed by Oncology and post their initial BMA/LP
- When receiving chemotherapy or having radiation give all antiemetic regularly and continue at least 5 days after treatment
- Post chemotherapy, some patients receive G-CSF (except for example patients with AML)
- Consider PCP prophylaxis (once daily for three consecutive days each week)
- Newly diagnosed or recently relapsed patients should receive either allopurinol or rasburicase (see tumour lysis protocol)
- See outliers folder for information about chemotherapy and other supportive case medications
Post Transplant Patients
Could be receiving some of the following drugs:
- Gancyclovir (if CMV+ve)
- G- CSF (day +8 and by oncology preference)
- Itraconazole Syrup on empty stomach 1 hr before food
- Ranitidine or omeprazole (if on high-dose steroids)
- When patient is receiving chemotherapy follow the Safe Administration of Chemotherapy Checklist
- When touching any body fluids please wear chemo gown and gloves, personal protective equipment (PPE). Body fluids are blood, stool, vomit, saliva, sweat, bile, and secretions.
- When suctioning or flushing any body fluids please wear mask and goggles
- When disposing or blood, nappies or any chemotherapy lines please put in purple cytotoxic bins.
- Emesis, urine from IDC and stool can be flushed while wearing PPE.
- When there is a chemotherapy spill please use spill kit and follow protocol
- If extravasation happens please notify 27B and follow protocol.
- Prolonged exposure to small amounts of chemotherapy can cause cancer
- If pregnant it is up to the individual health care provider if they would like to care for the patient.
- If family members are educated about the side effects of contact with cytotoxic material it is their choice to glove or not.
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- Date last published: 10 June 2016
- Document type: Clinical Guideline
- Services responsible: Paediatric Intensive Care Unit
- Owner: Fiona Miles
- Editor: John Beca
- Review frequency: 2 years
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