Commonly Used Drugs: Supplies and Extra Steps

Question 1

Bendasmustine (Treanda, Bendak)

Answer 1

NS, secondary tubing

Question 2

Cyclophosphamide (Cytoxan)

Answer 2

NS, secondary tubing

Question 3

Carboplatin (Paraplatin)

Answer 3

NS or D5W, secondary tubing

Question 4

Cisplatin (Platinol)

Answer 4

NS, secondary tubing

Question 5

Oxaliplatin (Eloxatin)

Answer 5

D5W, secondary tubing

Question 6

Irinotecan (Camptosar)

Answer 6

NS, secondary tubing

Question 7

Topotecan (Hycamtin)

Answer 7

NS, secondary tubing

Question 8

Doxorubicin HCl (Adriamycin)

Answer 8

NS, secondary tubing. If dose is greater than 30ml but not in a bag, split into more than one syringe. Volume must not be more than 75% of syringe.

Question 9

Doxorubicin Liposomal (Doxil)

Answer 9

D5W, secondary tubing

Question 10

Etoposide (VP-16, Vepesid, Toposar)

Answer 10

NS, secondary tubing

Question 11

Vincristine (Oncovin)

Answer 11

NS, secondary tubing. Do NOT dispense for intrathecal administration.

Question 12

Docetaxel (Taxotere)

Answer 12

NS, Taxol tubing, non-PVC bag.

Question 13

Paclitaxel (Taxol)

Answer 13

NS, Taxol tubing. Non-PVC, non-DEHP bag.

Question 14

Paclitaxel Protein-bound (Abraxane)

Answer 14

Empty bag, secondary tubing. Reconstitute with 20ml NS.

Question 15

Pemetrexed (Alimta)

Answer 15

NS, secondary tubing. Reconstitute with either 4.2 or 20ml NS.

Question 16

Azacitidine (Vidaza)

Answer 16

NS, secondary tubing. Reconstitute with 10ml SW.

Question 17

Decitabine (Dacogen)

Answer 17

NS, secondary tubing. Reconstitute with 10ml SW. Fluid bags must be refrigerated before drug is added.

Question 18

Fluorouracil (5-FU, Adrucil)

Answer 18

Syringe push OR empty cassette with pump tubing.

Question 19

Gemcitabine (Gemzar)

Answer 19

NS, secondary tubing

Question 20

Arsenic Trioxide (Trisenox)

Answer 20

NS or D5W, secondary tubing. Add drug to fluid using filter needle.

Question 21

Bleomycin Sulfate (Blenoxane)

Answer 21

NS, secondary tubing. Reconstitute with either 5 or 10ml NS.

Question 22

Mitomycin (Mitozytrex, Mutamycin)

Answer 22

NS, secondary tubing OR just syringe. Reconstitute with 10ml, 40ml, or 80ml SW.

Question 23

Ado-Trastuzumab Emtansine (Kadcyla)

Answer 23

NS, Taxol tubing. Reconstitute with either 5ml or 8ml SW. Do not shake.

Question 24

Bevacizumab (Avastin)

Answer 24

NS, secondary tubing.

Question 25

Cetuximab (Erbitux)

Answer 25

Empty bag, Taxol tubing

Question 26

Ipilimumab (Yervoy)

Answer 26

NS, Taxol tubing. Allow vials to stand at room temp for at least 5 minutes.

Question 27

Nivolumab (Opdivo)

Answer 27

NS, Taxol tubing.

Question 28

Obinutuzumab (Gazyva)

Answer 28

NS, secondary tubing.

Question 29

Panitumumab (Vectibix)

Answer 29

NS, Taxol tubing. Withdraw fluid volume equivalent to dose volume.

Question 30

Pembrolizumab (Keytruda)

Answer 30

NS, Taxol tubing.

Question 31

Pertuzumab (Perjeta)

Answer 31

NS, secondary tubing

Question 32

Ramucirumab (Cyramaza)

Answer 32

NS, Taxol tubing. Withdraw fluid volume equivalent to dose volume.

Question 33

Rituximab (Rituxan)

Answer 33

NS, primary tubing.

Question 34

Trastuzumab (Herceptin)

Answer 34

NS, secondary tubing. Reconstitute with 7.4ml SW.

Question 35

Bortezomib (Velcade)

Answer 35

Syringe. Reconstitute vial with 1.4ml NS for SubQ or 3.5ml for IV.

Question 36

Carfilzomib (Kyprolis)

Answer 36

D5W, secondary tubing. Reconstitute with 5ml, 15ml, or 29ml SW. Do not shake.

Question 37

Romidepsin (Istodax)

Answer 37

NS, secondary tubing. Reconstitute with the 2.2ml of supplied diluent.

Question 38

Ziv-aflibercept (Zaltrap)

Answer 38

NS, Taxol tubing.