Reply To: Methotrexate infusion

  • Nicole Lennox

    February 12, 2020 at 7:50 pm

    ​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

    Nicole Lennox
    Nurse Educator
    Cancer Centre for Children
    The Sydney Children’s Network
    Westmead Campus
    Sydney, NSW
    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?

    Loucine Kaplanian, RN