Reply To: questions regarding chemo tubing and chemo admistration

  • Regina Winfrey

    Member
    March 11, 2015 at 7:31 am

    1. do you disconnect and discard the chemo tubing?Chemotherapy is administered directly to the hub and is infused alone if at all possible. We use secondary infusions that are connected to the line as a flush to ensure the complete dose is administered. The tubing is discarded after each dose.
    2. with multiple doses of the same (ex. cytarabine) what is your practice? Our chemotheraoy comes up from pharmacy primed with the tubing, so we change the tubing with each dose of chemotherapy.

    3. do you utilize separate tubing via Y site for chemo? no

    Regina Wilkes, MSN, RN
    CNL-St.Jude Children’s Research Hospital
    Memphis, TN
    United States
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    Original Message:
    Sent: 02-09-2015 02:45 PM
    From: Maritza Salazar Abshire
    Subject: questions regarding chemo tubing and chemo admistration

    This message has been cross posted to the following Discussions: Nurse Educators and Inpatient Staff Hospital Issues .
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    I have several  questions regarding chemo administration and tubing in other institutions.  Currently we utilize a tubing special to MD Anderson  called a manifold,  it allows for at least 6 compatible medications to be infused without disconecting the full set or piggy back tubing.  We would like to know how other institutions administer multiple doses of chemotherapy without the use of a manifold.  I can provide a picture of the manifold if you’d like in a subsequent message.

    1. do you disconnect and discard the chemo tubing?
    2.  with multiple doses of the same (ex. cytarabine)  what is your practice?
    3.  do you utilize separate tubing via Y site for chemo?

    thank you in advance for your responses.

    -Maritza
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    Maritza Salazar Abshire, MSN, MED, RN, CPON
    The University of Texas MD Anderson Cancer Center
    Nurse Educator
    Houston, TX
    United States
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