Supportive care Flashcards
How long to wait to vaccinate after B-cell directed therapy?
6 months
How long to wait to vaccinate after chemo?
3 months
How long to wait to vaccinate after T-cell directed therapy? (CAR t or blinatumomab)?
1 year/check antigens
What is MOA of blinatumomab
BITE therapy - CD3 + tumor cell
What chemo is it okay to have growth factors overlap with?
Asparagus add + vincristine (and anything that’s not myelosuppressive)
Which fungal infections do NOT cause a positive Beta-DGlucan?
Crypto and mucorales
What is goal trough for voriconazole?
> 1-1.5
What are chemitherapies with contraindications to CYP3A4 inhibitors (Eg voriconazole and posaconazole)?
Cyclophosphamide (high-dose) Vinca alkaloids (vincristine, vinblastine) Dasatinib Venetoclax Midostaurin
What premed are needed with amphotericin B?
Hydrocortisone
APAP
Diphenhydramine