This specialty practice discussion group is intended for nurse educator members of APHON. Remember that... View more
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Hi Loucine, We used to have similar issues. We do administer our MTX in 2 bags though, 10% in one bag and the 90% in another. We have implemented into our practice that at 6 hours to the end of infusion the staff empty the bags contents into the burette and they recalculate and change the rate of infusion to ensure it finishes at the right time, it usually doesn’t change much. Since we have implemented this practice we haven’t had any issues.
Not sure if that makes sense. Happy to clarify further if you need Nikki
—————————— Nicole Lennox Nurse Educator Cancer Centre for Children The Sydney Children’s Network Westmead Campus Sydney, NSW Australia —————————— ——————————————- Original Message: Sent: 02-07-2020 05:57 AM From: Loucine Kaplanian Subject: Methotrexate infusion
Dear Members, Please, it is highly appreciated if you provide us feedback on the following inquiries:
We are facing problems with accuracy in the chemotherapy infusion volume, especially methotrexate. Are you facing issues with chemotherapy bags? When the infusion time of the chemotherapy is over while the chemotherapy bag is still full? Note that we know that all bags could have an additional 10% or minus 10% volume. However, the remaining amount that we are having left after the infusion is over is more than 10%. Do you run the remaining amount ? or you only run the volume and the rate you initially set on the of the pump?