Gemcitabine+ Cisplatin (GC-G) Gemcitabine+ Carboplatin (GCar-G) Nalvelbine+ Cisplatin (NC-N) Nalvelbine+ Carboplatin (NCar-N) Oral Navelbine+ Cisplatin (Oral N +C) Paclitaxel ( WeeklyTaC) Docetaxel (TC, Q3W) Docetaxel (Weekly T alone) Alimta Iressa 250 mg, QD. Tarceva 150 mg, QD (self pay)

台北榮總肺癌化療組套

GC1. Check Body Weight2. 1/2 NS 1200 ml ivd 4-6 hours for hydration3. Lasix 20 mg iv at the last 200 ml 1/2 S of hydration4. □ Decadron 10 mg or □ Rinderon 8mg IV at 30 min before chemotherapy5. □ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; ivd st at 15 min before

C/T6. Gemcitabine mg (1000-1250 mg/m2) in 1/2 S 50 ml can ivd for 30 m

ins7. (step 3-5 are given before end of hydration)8. Full run 1/2 S 100 ml st.9. Cisplatin mg (60-75mg/m2) in NS 500 ml ivd for 1 hour10. Novamin 0.7 amp iv after C/T11. 1/2 S 700ml ivd12. Take BP & PR qid during C/T13. Check BW after C/T, if BW 1.5 kg greater than the BW when admission, La

six 20mg iv st ( Total iv volume: 1/2NS: 2000ml, NS: 500ml.)

G1. NS 500 ml IV keep line for chemotherapy

2. □ Decadron 10 mg IV or Rinderon 8 mg at 30 min before chemotherapy

3. □ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T

4. or ( 自費 ) □ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; st IVD at 15min before C/T

5. Gemcitabine mg (1000-1250mg/m2) in N/S 50ml iv for 30 mins

6. Run out the remaining N/S.

GCar1. Record BW2. NS 300 ml IV keep line for chemotherapy3. □ Decadron 10 mg or □ Rinderon 8mg IV at 30 min before chemoth

erapy4. □ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min

before C/T5. or ( 自費 ) □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; st IVD at

15min before C/T6. Gemcitabine mg (1000-1250mg/m2) in N/S 50 ml IV for 30 min

st7. Carboplatin mg 【 dose=AUC X (GFR+25)】 in NS 300 ml i

vd for one hour8. NS 200 ml ivd st ( Total iv volume: NS: 1000ml)

NC1. Check Body Weight2. 1/2 NS 1200 ml ivd 4-6 hours for hydration3. Lasix 20 mg iv at the last 200 ml 1/2 S of hydration4. □ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy5. □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; ivd st at 15 min before C/T6. Navelbine mg (25-30 mg/m2) in 1/2 S 50 ml can ivd for 30 mins7. (step 3-5 are given before end of hydration)8. Full run 1/2 S 100 ml st.9. Cisplatin mg (60-75mg/m2) in NS 500 ml ivd for 1 hour10. Novamin 0.7 amp iv after C/T11. 1/2 S 700ml ivd12. Take BP & PR qid during C/T13. Check BW after C/T, if BW 1.5 kg greater than the BW when admission, La

six 20mg iv st ( Total iv volume: 1/2NS: 2000ml, NS: 500ml.)

N1. NS 500 ml IV keep line for chemotherapy

2. □ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy

3. □ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T

4. or ( 自費 ) □ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; st IVD at 15min before C/T

5. Navelbine mg (25-30 mg/m2) in N/S 50ml iv for 30 mins

6. Run out the remaining N/S.

NCar1. NS 300 ml IV keep line for chemotherapy2. □ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemoth

erapy3. □ Primperam 2 Amp IV + Akineton 1# + Ativan 0.5mg 1# at 15 min

before C/T4. 或 ( 自費 ) □Navoban 5 mg; □ Kytril 3 mg; □ Zofran 8 mg; st IVD at

15min before C/T 5. Navelbine mg (25~30mg/m2) in NS 50ml IVA for 8 min st6. Carboplatin mg 【 dose=AUC X (Ccr +25)】 in NS 300

ml 7. IVA for one hour8. NS 200 ml IVD st9. Heparin 1 amp for port-A.10. Gastro-Timelets 1#/Tid ( 出院帶回藥 ) (Total IV volume: NS: 1000ml.) *Estimated Ccr= (140 - age)(body weight in kg) *0.85( if female )

72 x serum creatinine in mg/dL

Oral N (Oral dose= IV dose x 2.5 )

1. Navelbine(oral): mg(30mg #,20mg #)

Oral N+C1. Navelbine(oral): mg(30mg #,20mg #) 2. NS 1000ml IVD3. □ Decardron 10 mg or □ Rinderon 8mg IVD x 10 min4. □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; ivd st at 15 min bef

ore C/T5. Lasix 20 mg in the least 200 ml NS IVD x 20 min6. NS 500 ml IVD7. Cisplatin mg (60-75 mg/m2) IVD for 1 hour8. Novamin 0.7 amp IM after C/T9. Gastro-Timeletes 1# tomorrow morning. (total IV fluid: NS: 1500ml)

Weekly TaC

1. 1/2NS 500 ml IV keep line for chemotherapy2. □ Decadron 10 mg or □ Rinderon 8mgIV 15 min at 30 min before ch

emotherapy3. Allermin 1 amp IVD 15 min at 30 min before C/T4. Zantac 1 amp IVD 20 min before C/T5. Kytril 3mg in 30 ml NS IVD x 10 min6. □Anzatax□Taxol□Fomoxol mg (6 0-80 mg/m2) in D5W 250 ml gl

ass bottle iv with 0.22 um microfilter and NTG tube for 1 hour.7. Cisplatin mg (20-25mg/m2) in 500ml 1/2 S iv for 1 hour 8. Novamin 0.7 amp IM after C/T9. Gastro-Timelets 1# tomorrow morning10. Take vital sign q6h during chemotherapy Total IV H/S 1000cc, D5W250cc

Taxotere+Cisplatin, Q3W

1. Half saline 1000 ml IVD 4-6 hours for hydration.2. Lasix 20 mg IV at the last 200 ml half saline of hydration.3. □ Decadron 10 mg or □ Rinderon 8 mg IVD at 30 min before che

motherapy.4. Kytril 3 mg IVD for 5-10 min at 15 min before chemotherapy.5. Taxotere (60 mg/m2) in N/S 250 ml IVD for 1 hours st. (STEP 3-5 are given before end of hydration)6. Full run half saline 100 ml st.7. Cisplatin (60 mg/ m2) in N/S 500 ml IVD for 1 hours.8. Half saline 500 ml IVD 9. Novamin 0.7 amp(3.5mg) IM st.10. Take BP & PR qid during C/T11. Lasix 20 mg IV if I>O more than 1500 ml or body weight increase

d 1 kg.12. Gastro-T one cap next morning

Weekly Taxotere alone, Q3W

1. NS 500 ml IV keep line for chemotherapy2. □ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemo

therapy3. □ Primperan 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min

before chemotherapy4. ( 自費 ) □Navoban 5 mg; □ Kytril 3 mg; □Zofran 8 mg; st IVD at 15

min before C/T5. Taxotere mg (20, 30, 33mg/m2) IV drip for 1 hour 6. Run out the remaining NS7. Decadron 8mg P.O. Bid next day ( 自備、不入電腦 )

Alimta, Q3W

1. NS 500 ml IV keep line for chemotherapy2. Decadron 10 mg IV at 30 min before chemotherapy3. □ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 mi

n before C/T4. or ( 自費 ) □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; st IVD

at 15min before C/T5. Alimta mg (500mg/m2) in N/S 100ml ivd for 10 min st6. run out the remaining NS for 30 min