BELATACEPT (NULOJIX) MAINTENANCE INFUSION		version 2/27/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Every 4 weeks	S	 treatments	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Insert Peripheral IV or Access Portacath	Every 4 weeks	S	Until discont'd	
		No details available for preview		
	☐	Vital signs - T/P/R/BP Per Unit Protocol	Every 4 weeks	S	Until discont'd	
		Vital Signs PRE & POST Infusion.		
	☐	sodium chloride 0.9% flush 10 mL	Every 4 weeks	S	Until discont'd	
		10 mL, intravenous, PRN, line care, Starting when released, for 10 doses		
	☐	sodium chloride 0.9% infusion 250 mL	Every 4 weeks	S	Until discont'd	
		250 mL, intravenous, at 30 mL/hr, PRN, Flush bag, Starting when released, Until Discontinued		
	☐	Discontinue IV	Every 4 weeks	S	Until discont'd	
		No details available for preview		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	belatacept (NULOJIX) 5 mg/kg in sodium chloride 0.9% 100 mL IVPB	Every 4 weeks	S	Until discont'd	
		5 mg/kg, intravenous, Administer over: 30 Minutes, once, Starting when released
	Belatacept is only for use in EBV Seropositive Patients.
	Administer via a 0.2 micron in-line filter. Protect from light.