ROMIPLOSTIM (NPLATE) SQ INJECTION		version 2/27/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	1 time a week	S	 treatments	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Treatment conditions	Every visit	S	Until discont'd	
		Call if platelets LESS THAN *** or GREATER THAN ***		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	romiPLOStim (NPLATE) injection (RESTRICTED) 1 mcg/kg	1 time a week	S	Until discont'd	
		1 mcg/kg, subcutaneous, once, Starting when released