multiple chemotherapy agents in one bag and smart pumps?

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Thu, 09/03/2015 - 12:10
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Kim Gaillard
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Last seen: 1 year 10 months ago
Joined: 10/10/2011 - 14:31
multiple chemotherapy agents in one bag and smart pumps?

Can anyone share how they handle smart pump utilization with multiple chemotherapy drugs mixed in one bag. For example a patient receiving dose adjusted EPOCH. For this regimen the pharmacy prepares a 500 cc to a liter bag of normal saline with doxorubicin, vincristine and etoposide mixed together to infuse over 24 hrs for 4 days. Our nurses are requesting a "generic" multi-drug chemotherapy guardrale for the smart pump. The idea of a "generic" chemotherapy guardrale makes me uncomfortable.

Please advise how your organizations handle this issue.

Kim Gaillard, Pharm D.
RSFH Medication Safety

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