CIDOFOVIR (VISTIDE) INFUSION for Kidney Transplant		version 2/27/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room Appointment request for initial dose.	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine
	Appointment request for initial dose.		
	☑	Referral to IV Infusion Room Appointment request for subsequent doses.	Every 2 weeks	S+13	Until S+180	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine
	Appointment request for subsequent doses.		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	Basic metabolic panel	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect
	Please draw before each dose.		
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect
	Please draw before each dose.		
	☐	BK virus by PCR	Day 1 of every 1 month	S	Until discont'd	
		STAT, Normal, Clinic Collect
	Please draw monthly.		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Insert Peripheral IV or Access Portacath	Every visit	S	Until discont'd	
		No details available for preview		
	☐	sodium chloride 0.9% flush 10 mL	Every visit	S	Until discont'd	
		10 mL, intravenous, PRN, line care, Starting when released, for 10 doses		
	☐	sodium chloride 0.9% infusion 250 mL	Every visit	S	Until discont'd	
		250 mL, intravenous, at 30 mL/hr, PRN, Flush bag, Starting when released, Until Discontinued		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	cidofovir (VISITIDE) 1 mg/kg in dextrose 5% 100 mL IVPB	Once	S	1 treatment	
		1 mg/kg, intravenous, Administer over: 60 Minutes, once, Starting when released
	Loading dose		
	☐	cidofovir (VISITIDE) 0.5 mg/kg in dextrose 5% 100 mL IVPB	Every 2 weeks	S+13	Until S+180	
		0.5 mg/kg, intravenous, Administer over: 60 Minutes, once, Starting when released		

Discharge Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Discontinue IV	Every visit	S	Until discont'd	
		Normal