79 使用 filgrastim(Neupogen)預防癌症化療(chemotherapy)引起之 neutropenia 時,其給藥時機為:
(A)化療開始前 24 小時內
(B)化療進行中任何時間
(C)化療最後一個劑量後 24 小時
(D)與化療同步
統計: A(57), B(5), C(196), D(11), E(0) #415586
詳解 (共 5 筆)
仿單建議:
化療(第二天後)
劑量用法:
5 mcg/kg/day as a single daily subcutaneous bolus injection, or short IV infusion (15 to 30 minutes), or by continuous IV infusion; doses may be increased by 5 mcg/kg for each chemotherapy cycle according to the duration and severity of the absolute neutrophil count (ANC) nadir; stop therapy if the ANC increases beyond 10,000/mm3
Duration of therapy: Up to 2 weeks or until the ANC has reached 10,000/mm3 following the expected chemotherapy-induced neutrophil nadir (a transient increase in neutrophil count is typically seen 1 to 2 days after initiation of therapy)
Comments:
-A CBC and platelet count should be obtained before instituting therapy and monitored twice weekly during therapy.
-Do not administer this drug during the period 24 hours before or 24 hours after the administration of cytotoxic chemotherapy.
-The duration of therapy needed to attenuate chemotherapy-induced neutropenia may be dependent on the myelosuppressive potential of the chemotherapy regimen used.