Reply To: Blinatumomab ( blyncito)

  • Jennifer Nordin

    Member
    May 5, 2020 at 3:42 pm

    We just had our first patient with a 7 day bag, and we faced the same issues. It feels to me like it is the port that is the issue. Have you heard anything else?​

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    Jennifer Nordin, RN
    Leawood, KS
    United States
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    Original Message:
    Sent: 04-13-2020 03:00 PM
    From: Kristine Rogers
    Subject: Blinatumomab ( blyncito)

    Hi All:
    We are using the CADD Legacy Plus with  a special Blinatumomab cassette.  We have had the best luck using 72 hour and 96 hour bags because they run at 5 cc/hr which has been enough for the pump to run without alarming.  When we tried the 7 day bag, the 0.6 cc/hr rate was too slow and we had back up into the tubing and subsequent pump alarming.

     

    We began the infusion in the hospital for 4 days then sent the patient home.  We have been successful keeping him in the outpatient setting by having him come to clinic at 72 hours then 96 hours for bag change and de-access/re-access.  In addition, we have withdrawn the first 5 cc once disconnecting the patient, then drawing labs, then flushing with saline only.  We’ve got 2 pumps so we take one down to specialty pharmacy each time we do a change and they have it primed, programmed and ready for the next visit.

     

    It has been a ton of collaboration between pharmacy and nursing, but it’s finally working really well.

    Thanks.

     

     

    Kris

     

    Kristine E. Rogers, MSN, RN, Clinical Manager

    kerogers@mmc.org

    Maine Children’s Cancer Program

    100 Campus Dr.  Ste.107

    Scarborough, Me. 04074

    (207) 396-7565

     

    mccplogo

     

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    Original Message——

    Hi Jennifer – We are using Alaris, I do not believe we have had success with our home infusion companies to use the CADD. Is the valve ​by Alaris or a different company?

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    Julie Moreton, MSN RN CPHON CPN CLNC
    President, Palmetto-APHON Chapter
    Nursing Education Specialist
    Prisma Health Children’s Hospital – Midlands
    Columbia, SC
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