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CSC GU Bevacizumab(28D:1,15) Interferon Alfa-2B(28D:3X Weekly) Self-Administered VER 12-1-16 (HL 3300)

CSC GU Bevacizumab(28D:1,15) Interferon Alfa-2B(28D:3X Weekly) Self-Administered VER 12-1-16 (HL 3300) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Beacon Protocols, GU


CSC GU BEVACIZUMAB(28D1,15)/INTERFERON ALFA-2B(28D3 X WEEKLY) SELF-ADMINISTERED VER 12-1-16 (HL
3300) – Properties
Pre-Cycle – 6/7/2017 through 6/13/2017 (7 days), Planned
Day 1, Pre-Cycle – Planned for 6/7/2017
Treatment Plan Information
Treatment Plan Summary
DISEASE: Renal Cell Carcinoma (Advanced); THERAPY: bevacizumab 10 mg/kg IV Day 1 and 15, interferon alfa-2B 9 million units
subcutaneous three times weekly; CYCLE LENGTH: 28 days; COURSE: until disease progression (bevacizumab); interferon alfa-2B
for a maximum of 52 weeks.
Consent
Verify Consent
Verify informed consent has been obtained.
Pre-Labs
CBC WITHOUT DIFFERENTIAL
Expected-S Approximate, Expires-S+365, Normal, Routine
ABSOLUTE NEUTROPHIL COUNT
Expected-S Approximate, Expires-S+365, Normal, Routine
CREATININE
Expected-S Approximate, Expires-S+365, Normal, Routine
AST/SGOT
Expected-S Approximate, Expires-S+365, Normal, Routine
ALT/SGPT
Expected-S Approximate, Expires-S+365, Normal, Routine
ALKALINE PHOSPHATASE
Expected-S Approximate, Expires-S+365, Normal, Routine
URINALYSIS, NO MICROSCOPY
Expected-S Approximate, Expires-S+365, Normal, Routine
BILIRUBIN, TOTAL
Expected-S Approximate, Expires-S+365, Routine
Take Home Medications
acetaMINOPHEN (TYLENOL) 325 MG tab
Take 2 tabs by mouth every 4 hours as needed for fever or pain. Take 2 tablets 30 minutes prior to each interferon alf-2B
injection and 2 tablets by mouth every 4 hours as needed for pain., 650 mg, Disp-1 Bottle, R-0, EVERY 4 HOURS PRN starting S
Available over the counter
Cycle 1 – 6/14/2017 through 7/11/2017 (28 days), Planned
Cycle 2 – 7/12/2017 through 8/8/2017 (28 days), Planned
Cycle 3 – 8/9/2017 through 9/5/2017 (28 days), Planned
Cycle 4 – 9/6/2017 through 10/3/2017 (28 days), Planned
Cycle 5 – 10/4/2017 through 10/31/2017 (28 days), Planned
Cycle 6 – 11/1/2017 through 11/28/2017 (28 days), Planned
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Zztestonc,Jeff J [2507481]
6/14/2017 4:18:00 PM Page 1 of 1
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
06/2017CCKM@uwhealth.org