GILENYA (FINGOLIMOD) FIRST DOSE PROTOCOL (DR. SIMPSON)		version 8/27/2018		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Once	S	1 treatment	
		Baseline: Blood pressure, pulse, and record EKG		
	☐	EKG	Once	S	1 treatment	
		Clinic Performed, Normal
	Baseline EKG		
	☐	Nursing communication	Once	S	1 treatment	
		Administer 1 dose of Fingolimod (Patient will bring medicine).  Please chart on MAR.		
	☐	fingolimod (GILENYA) capsule 0.5 mg	Once	S	1 treatment	
		0.5 mg, oral, once, Starting when released
	Patient will bring medicine		
	☐	Nursing communication	Once	S	1 treatment	
		Post-Fingolimod Dose:
	1) Blood pressure and pulse every one hours x 6 records
	2) Repeat EKG 6 hours after Fingolimod dose
	
	Fax Vital Records and EKG to 713-790-5079 (Erica P. Simpson).
	
	Notify Dr. Simpson and office if patient has any reaction, SOB, dizziness, chest pain or orthostasis.		
	☐	EKG	Once	S	1 treatment	
		Clinic Performed, Normal
	Repeat EKG 6 hours after Fingolimod dose