Reply To: Voiding when receiving chemo

  • Carie Murphy

    Member
    May 16, 2023 at 6:20 am

    We do the same with ifos & Cytoxan.  However, if patient is asleep overnight (as long as they are not diapered) we will let them go 3ish hours sometimes. We still change diapered children q2.

     

    Carie Murphy, MSN, RN, CPON

    Peds Hem/Onc/BMT Educator

    Wolfson Children’s Hospital

    800 Prudential Drive, Weaver Tower 4

    Jacksonville, FL  32207

    ( (904)202-0520

    * Carie.Murphy@bmcjax.com

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    Original Message:
    Sent: 5/13/2023 6:58:00 AM
    From: Mary Lynn Rae
    Subject: RE: Voiding when receiving chemo

    we just have patients void Q2 for ifos, cytoxan

    Mary Lynn
    Mary Lynn Rae, MSN, RN, NPD-BC, CPHON, BMTCN
    Nursing Professional Development (NPD) Clinical Educator
    Center for Cancer and Blood Disorders (Inpatient/Outpatient)
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    225 E. Chicago Avenue
    Chicago, Illinois  60611
    Phone:  312-227-4224
    Pager:  312-227-4000, ask for pager 74224
    Email:  mlrae@luriechildrens.org  
    Pronouns: she/her/hers

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    Original Message:
    Sent: 5/12/2023 10:25:00 AM
    From: Joanna Schneider
    Subject: Voiding when receiving chemo

    We are looking at changing our standard for getting up to void frequently with our pediatric patients receiving chemo. Our current standard (which we have done it this way for 30+ years) is to have them get up and void every 2-3 hours when receiving chemo and 48 hours after the last dose. We do it for any kid that is receiving any type of chemo. We are looking at changing it to getting up and voiding every 3-4 hours for chemos that are harder on the kidneys/bladder and/or excreted in the urine (cyclophos, high dose methotrexate, etc). With chemos like Vincristine, etc. we won’t get them up and they can void when they need to. Our kids in diapers we will continue to change every couple of hours since it can be hard on their skin. I was curious what other institutions do and/or if they had any policies/standards regarding this. Thanks!

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    Joanna Schneider, BSN,RN,CPHON,CPN
    Moorhead, MN
    United States
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