======Hematology Checklist====== =====Labs===== * Admission: CBC, CMP, LDH, uric acid, Phos, PT, PTT, INR, fibrinogen * Tumor Lysis Labs: CMP, Phos, uric acid, LDH * Daily: CBC, CMP, +/- TLS =====Transfusions===== * Obtain blood product consent (consult?) * Leukoreduced, irradiated for all heme patients; future BM transplant candidates with negative CMV IgG should also receive CMV safe blood products * Normal pRBC: Hgb < 7 or symptomatic anemia * Normal platelets: <10, <20 if febrile, <50 if planned procedures/bleeding =====IV Access===== * Re-evaluate lines daily and need for central lines * Discuss with fellow if PICC is required for chemotherapy * For patients requiring PICC, consent prior to placing order =====Chemo Regimens===== * Ask fellow for regimen and potential toxicities * Know cycle and day of chemo administered, anticipated discharge =====Antimicrobial Prophylaxis===== * Neutropenic ALL: acyclovir 400 mg PO BID, fluconazole 400 mg QD, Bactrim DS qMWF, levofloxacin 500 mg QD * Neutropenic AML: acyclovir 400 mg PO BID, voriconazole 400 mg QD, levofloxacin 500 mg QD