Thursday, September 12, 2013

PRP Week 37 to 38 - Cytotoxic Drug Reconstitution (CDR)

Assalamualaikum and salam sejahtera..

I seems that I have abandon my blog for a while. I'm so busy with work nowadays. Balik rumah je tidur. Balik je tidur. Sometimes I skip dinner to pamper myself with sleep. Hehehe..

So what usually the PRP do in CDR? In the morning, we will take out the prepared drugs from the fridge for today's cases. We prepared some of the drugs a day before so that there won't be so much drugs to be reconstituted in one day. Then, we helped to prepare worksheets which is basically doing calculation for doses. Most of the CDR drugs are based on body surface area instead of patient's weight.

When everything is ready, we go to take the medications and drips from CDR room. The medications need to be diluted before they are given to patients. Usually PPF will do the reconstitution since they can do it faster. However, sometimes if there's an additional cases, I will do it in the afternoon. At first we used isolator since the clean room is still not yet in operation due to malfunctioning of certain feature but I heard now can already enter the clean room for CDR.

At approximately 10am, we will do counselling for patient. Patient who will undergo chemotherapy for the first time will be briefed about the medications and the side effects. As know, normally patient under chemo will experience hair loss, dry skin, nausea and vomiting and many others. We will go to the Day Care Unit to counsel the patient. For patient who repeatedly come for chemo, I will just dispensed their anti-emetics such as metoclorpramide and dexamethasone. These medications help to reduce the nausea.

Karthiga & Hemah

cucuk Hemah.. yahh yahhhh..

After lunch, we will do the worksheets for tomorrow case as doctors or staff nurses will call to confirm the cases. Then, we are quite free and can do other stuffs like filling up the logbooks or doing assessments.

That's all for Part 1 CDR. Apparently my schedule had been split into two sessions for the sake of logbooks. 


Anonymous said...

hye, im a B. Pharm student...just go through ur blogs..i have a doubt, why for CDR calculation of dose,the BSA is used instead of body weight?

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