Unique Plan Description: rasburicase (Elitek) for Tumor Lysis Syndrome
Plan Selection Display: rasburicase (Elitek) for Tumor Lysis Syndrome
PlanType: Medical                                 
Version: 3          
Begin Effective Date: 2015-04-01 15:18:58
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-02-07 09:35:55
Available at all facilities: Yes

rasburicase (Elitek) for Tumor Lysis Syndrome
Laboratory
		For High-Risk patient, select below(NOTE)*
	Uric Acid
		T;N, Timed, Q6H, spec type = Blood Chilled
			Comment: Pt on rasburicase (Elitek) for Tumor Lysis Syndrome protocol.
		For Intermediate-Risk patient, select below(NOTE)*
		T;N, Timed, Q12H, spec type = Blood Chilled
			Comment: Pt on rasburicase (Elitek) for Tumor Lysis Syndrome protocol.
	BMP
		T+1;0400, Routine, Q24H, spec type = Blood
Medications
	rasburicase
		3 mg, INT, IVPB, Once, Routine, T;N, 30 min(s)
		If > 100kg or per MD request due to very high-risk, may consider:(NOTE)*
		6 mg, INT, IVPB, Once, Routine, T;N, 30 min(s)
Patient Care
	Notify Lab
		T;N
			Comment: Notify Phlebotomy IMMEDIATELY "Pt on rasburicase (Elitek) for Tumor Lysis Syndrome protocol.. Blood must be collected into pre-chilled tubes containing heparin.  Immediately immerse plasma samples for uric acid measurement in an ice water bath.  Plasma samples must be prepared by centrifugation in a pre-cooled centrifuge (4 degrees C).  The plasma must be maintained in an ice water bath and analyzed for uric acid within four hours of collection.
Consults/Follow-up
	Pharmacy Consult
		T;N
			Comment: PHARMACY MUST notify phlebotomy IMMEDIATELY  Read the following to Phlebotomy AND Client Support Services:  Patient is on rasburicase (Elitek) for Tumor Lysis Syndrome protocol.  Blood must be collected into pre-chilled tubes containing heparin.  Immediately immerse plasma samples for uric acid measurement in an ice water bath.  Plasma samples must be prepared by centrifugation in a pre-cooled centrifuge (4 degrees C).  The plasma must be maintained in an ice water bath and analyzed for uric acid within four hours of collection.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase