_____ 25. Your patient is receiving a protocol that includes
both Adriamycin and Cytoxan. You notice a redness in the urine.
You conclude that
a. there must be a UTI and the patient needs a sulfa drug
b. the redness is definitely blood since Adriamycin is known to cause hemorrhagic cystitis
c. the redness is possibly, but not necessarily, indicative of the presence of blood in this case
d. extravasation has occurred and protective measures are necessary
Rituxan dosage is 1 gram to start and at 2 weeks, then every 16-20 weeks. All patients receive pre-medications of Benadryl (diphenhydramine), Tylenol (acetaminophen) and a small dose of steroids before the infusion to prevent an infusion reaction (see below). Rituxan infusion can take up to 6 hours. The first infusion lasts five hours and is titrated starting at a low rate with an increase every half hour. If a patient reacts well to the first infusion, the second infusion will begin at a higher rate and the infusion will take four hours. While on Rituxan, patients should not receive live vaccines.