Reply To: Thiotepa skin care

  • Caroline Costello

    Member
    May 14, 2014 at 11:56 am

    What do you use to bathe? Water, no soaps at all.

    *How often are the baths and are they spaced evenly over the 24 hrs (do you allow longer periods during night time)? Every 6 hours starting 6 hours after the first dose of Thiotepa and up to 24 hours after the last dose.  They are usually 10P, 4A, 10A, and 4P.  They are evenly spaced. 

    *What is your process for CVL care with the baths?  The dressing is changed every 6 hours.  We use sterile water, small 2×2 and then surgilast to hold the 2×2 on.  No tape.

    *Any additional items done for patients in diapers? Change diapers every 2 hours, no diaper wipes, creams, or ointments.

    *In relation to the start of the prep with Thiotepa, when does the patient receive their CVL (immediately before, a week before etc.)? It is usually placed before for chemo prior to their SCT unless we want a new one for some reason.

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    Caroline Costello
    Boston Children’s Hospital
    Boston, MA
    United States
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    Original Message:
    Sent: 05-14-2014 10:33 AM
    From: Amy Spence
    Subject: Thiotepa skin care

    This message has been cross posted to the following Discussions: Pediatric Chemotherapy Biotherapy Instructors and Nurse Educators .
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    What is your practice for skin care for patients receiving HSCT/BMT prep dosing of Thiotepa, specifically:
    *What do you use to bathe?

    *How often are the baths and are they spaced evenly over the 24 hrs (do you allow longer periods during night time)?

    *What is your process for CVL care with the baths?

    *Any additional items done for patients in diapers?

    *In relation to the start of the prep with Thiotepa, when does the patient receive their CVL (immediately before, a week before etc.)?

    Thank you so much! The literature has not turned up much so we are now seeking best practice information.

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    Amy Spence
    Seminole, FL
    United States
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