PROTOKOL HARIAN PEMBERIAN HIGH DOSE METHOTREXATE (HD – MTX)

pada Acute Lymphoblastik Leukimia

Nama : ................................... BB / TB/ LPB : ......kg .....cm ...m2

Umur / Tgl Lahir : ................................... Nomor CM : .................................................
Jenis Kelamin : ................................... Tanggal Terapi : .................................................

Dosis : Dosis :
MTX drip ........mg (24 jam) ph<6,5 : NaBic 1,5 tablet

ph>6,5 : tidak diberi Nabic tablet

<---------------------6 jam-------------------> <-----------24 jam-----------> <-------------24 jam-----------> <-----------24 jam---------->

6 jam 6 jam 6 jam 6 jam 24 jam 8 jam 8 jam 8 jam 8 jam 8 jam 8 jam 8 jam 8 jam 8 jam
MTX MTX MTX MTX D ½ NS Leucovorin Leucovorin Leucovorin Leucovorin Leucovorin Leucovorin Leucovorin Leucovorin Leucovorin
........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg ........mg
NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl NaCl
..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc ..........cc
....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt ....tts/mnt
pH
NaBic
Jam

Catatan :
Leucovorin diberikan dalam waktu 1 jam September,

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