shared:heme:checklist
Table of Contents
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
shared/heme/checklist.txt · Last modified: 2020/02/06 05:16 by 127.0.0.1