gemcitabine 1250 mg/m2 = mg 1000 mg/m2 = mg Other: mg/m2 = mg IV IV in 250 mL NS over 30 minutes Approximate rate = 500 mL/hr Option 1 CISplatin 70 mg/m2 = mg Other: mg/m2 = mg IV in 1000 mL NS over 30 minutes Approximate rate = 2000 mL/hr With potassium chloride 20 mEq/L magnesium sulfate 1 g/L mannitol 30 g/L Option 2 CISplatin 35 mg/m2 = mg Other: mg/m2 = mg IV in 1000 mL NS over 60 minutes Approximate rate = 1000 mL/hr With potassium chloride 20 mEq/L magnesium sulfate 1 g/L mannitol 30 g/L CHEMOTHERAPY ORDERS Continued Date Initials Day 2 chemotherapy orders (mm/dd/yy) If Option 2 administered on Day 1 CISplatin 35 mg/m2 = mg 1 Code: Date: Other: mg/m2 = mg PPO IV in 1000 mL NS over 60 minutes 08 Revision Approximate rate = 1000 mL/hr Last June LYCHOPR0032
gemcitabine 1250 mg/m2 = mg 1000 mg/m2 = mg Other: mg/m2 = mg IV IV in 250 mL NS over 30 minutes Approximate rate = 500 mL/hr Option 1 CISplatin 70 mg/m2 = mg Other: mg/m2 = mg IV in 1000 mL NS over 30 minutes Approximate rate = 2000 mL/hr With potassium chloride magnesium sulfate mannitol 20 mEq/L 1 g/L 30 g/L Option 2 CISplatin 35 mg/m2 = mg Other: mg/m2 = mg IV in 1000 mL NS over 60 minutes Approximate rate = 1000 mL/hr With potassium chloride magnesium sulfate mannitol 20 mEq/L 1 g/L 30 g/L Date (mm/dd/yy) Initials Last Revision Date: 1 June 08 PPO Code: LYCHOPR0032 CHEMOTHERAPY ORDERS Continued Day 2 chemotherapy orders If Option 2 administered on Day 1 CISplatin 35 mg/m2 = mg Other: mg/m2 = mg IV in 1000 mL NS over 60 minutes Approximate rate = 1000 mL/hr
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