Reply To: Bilirubin levels prior to Vincristine

  • Jennifer Toth

    October 21, 2021 at 9:53 am

    Hi Christine-
    We only wait for bili before giving vincristine on day 1 of a new maintenance cycle. Otherwise we check it but don’t wait for result before giving the chemo due to the delays you mentioned.

    Jennifer Toth, MSN,CPHON,CPNP-AC
    Washington, DC
    United States
    Original Message:
    Sent: 08-23-2021 03:22 PM
    From: Christine Milner
    Subject: Bilirubin levels prior to Vincristine

    Hi all,
    We are transitioning our maintenance leukemia patients to be seen directly in our infusion suite.  A question came up about bilirubin.  Do you routinely wait for results before vincristine, or only on day 1 of a cycle.
    We are trying to come up with a standard process, factoring in lab delays which can be up to 2-3 hours for a bili level.

    Christine Milner, CPNP,CPON,MS,RN
    Cohen Children’s Medical Center of NY
    New Hyde Park, NY