Hematology Checklist

Admission: CBC, CMP, LDH, uric acid, Phos, PT, PTT, INR, fibrinogen

Tumor Lysis Labs: CMP, Phos, uric acid, LDH

Daily: CBC, CMP, +/- TLS

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

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

Ask fellow for regimen and potential toxicities

Know cycle and day of chemo administered, anticipated discharge

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