If this file opens in Compatibility Mode using Microsoft Word, convert to the latest document format to avoid potential formatting issues.	

OP RESEARCH H-48440 / LULLA ARTEMIS INFUSION	

Types:      Research Oncology Treatment
Synonyms:  

Infusion Orders	Repeat 1 time	Cycle length: 1 day	Day 1	Perform every 1 day x1		Line Care
  	sodium chloride 0.9% flush 20 mL	Dose: 20 mL	Route: intravenous	PRN	Start: S					Nursing Orders
  	VITAL SIGNS - T/P/R/BP	Interval: --	Occurrences: --		  	PULSE OXIMETRY	Interval: --	Occurrences: --		  	RESEARCH - HEIGHT AND WEIGHT	Interval: --	Occurrences: --			Labs
  	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		  	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --		  	BILIRUBIN DIRECT	Interval: --	Occurrences: --		  	MAGNESIUM LEVEL	Interval: --	Occurrences: --		  	PHOSPHORUS LEVEL	Interval: --	Occurrences: --			Pre-Medications
☑	acetaminophen (TYLENOL) tablet 650 mg	Dose: 650 mg	Route: oral	every 6 hours for 2 doses	Start: S			Instructions:	Give 2 tablets 30 minutes prior to product administration and repeat dose 6 hours post product administration		☑	diphenhydrAMINE (BENADRYL) injection 25 mg	Dose: 25 mg	Route: intravenous	once for 1 dose	Start: S					Emergency Medications
  	TRANSFUSION REACTION EVALUATION	Interval: --	Occurrences: --	Comments:	Anaphylactic precautions:  Keep medications at the bedside to administer per physician's orders.
		  	diphenhydrAMINE (BENADRYL) injection 50 mg	Dose: 50 mg	Route: intravenous	once PRN	Start: S			Instructions:	Keep at bedside to administer per physician's orders.		  	hydrocortisone sodium succinate (Solu-CORTEF) injection 250 mg	Dose: 250 mg	Route: intravenous	once PRN	Start: S			Instructions:	Keep at bedside to administer per physician's orders.		  	EPINEPHrine (ADRENALIN) 1 mg/mL injection FOR IM/SQ USE 0.3 mg	Dose: 0.3 mg	Route: intravenous	once PRN	Start: S			Instructions:	Keep at bedside to administer per physician's orders.			Nursing Orders
  	NURSING OXYGEN ORDERS/INSTRUCTIONS	Interval: --	Occurrences: --	Comments:	Oxygen & suction set up, sterile gloves, normal saline flush, 1ml and 3ml syringes w/needles
		  	NURSING COMMUNICATION	Interval: --	Occurrences: --	Comments:	Cells to be administered by physician. Clinic nurse to remain at bedside during the entire infusion.
		  	NURSING COMMUNICATION	Interval: --	Occurrences: --	Comments:	Verify cell dose and patient information on Component Infusion Form
		  	MONITOR VITAL SIGNS	Interval: --	Occurrences: --	Comments:	Monitor and record vital signs (T, P, R, BP), breath sounds, and pulse oximetry:Pre-infusion, during infusion, post infusion, q 30 minutes and then at 1 hourContinuous pulse oximetry for at least 30 minutes post-infusion.
		  	ONC NURSING COMMUNICATION	Interval: --	Occurrences: --	Comments:	Assess patient for immediate reactions:
a. Allergic reactions (anaphylaxis)
b. Decreased oxygenation (due to migration of lymphocytes to lungs)