Reply To: Anti-emetic coverage for longer chemo runs

  • Wendy Fitzgerald

    February 1, 2020 at 4:24 pm

    Aprepitant is very long acting, which is why the recommendation has a loading dose and only 3 days of treatment, so I would not be concerned that it’s effect would diminish on days 4 and 5.

    Wendy Fitzgerald, RN, PNP-BC, CPON

    Nurse Practitioner, Oncology Division

    Children’s National Medical Center

    111 Michigan Avenue, NW

    Washington, DC 20010

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    We try that initially then add some Ativan PRN.  If they remain with nausea, we also use scopalomine patch and change every 72 hours.

    Pamela Smith, FNP-C,MSN,RN
    Charleston, WV
    United States