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we use loratadine and cetirizine for premeds for chemo, interested in using for blood, however, we recently stopped using a lot of premeds for blood unless there was a witnessed/reasonable belief of a previous reaction.
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A clinical nurse specialist is an advanced degree nurse who influences practices and patient outcomes through consultation, research, education and establishing organizational standards.
——————————————- Original Message: Sent: 1/19/2023 3:28:00 PM From: Marge Ancliffe Subject: RE: cetirizine for premed?
We routinely use Cetirizine for pre-medication for blood/blood products and chemotherapy. We dose at 0.25mg/kg to a max of 10mg per dose. Our hospital has significantly lessened the use of IV Diphenhydramine due to the unpredictable side effect profile – although we can still access it on our formulary. Since we implemented Cetirizine pre-meds, I can count on one hand how many times I’ve needed to order Diphenhydramine!
—————————— Marge Ancliffe, NP Pediatric Oncology NP IWK Health Halifax, NS Canada —————————— ——————————————- Original Message: Sent: 01-19-2023 02:18 PM From: Monica Ploof Subject: cetirizine for premed?
I have successfully used cetirizine in patients who had previous reactions while receiving blood products, IVIG, and chemotherapy. These patients were able to tolerate infusion successfully with cetirizine as pre-med. Reasons for not using Benadryl were due to excessive aggressive behavior, tearful, extreme pruritis or generalized intolerance of the drug.
Monica M. Ploof CPNP
University of Vermont Medical Center
Original Message: Sent: 1/19/2023 2:29:00 PM From: Jami Gattuso Subject: cetirizine for premed?
Does anyone use cetirizine as a pre-med for chemo or blood products? Thanks, Jami
—————————— Jami Gattuso, CPON,MSN,RN Nursing Research Specialist Memphis, TN United States ——————————