此化學療程紀錄表格是當初為家妤做化療時所設計的,目的在於了解化療期間身體的狀況
P.S. 1.4,7 次做眼科,牙科,耳科會診及腎臟功能檢查,每3個月做一次MRI |
|||||||||
項目 |
正常值 |
|
第 1 天 |
第4天 |
第8天 |
第10天 |
第13天 |
第15天 |
第17天 |
日期 |
|
|
|
|
|
|
|
||
WBC(白血球) |
4,500~11,000 |
|
|
|
|
|
|
|
|
RBC(紅血球) |
F:4.2~5.4 M4.6~6.2 |
|
|
|
|
|
|
|
|
HBG(血紅素) |
F:12~16g/dl M:14~18g/dl |
|
|
|
|
|
|
|
|
HCT(血球容積比) |
F:37~47% M:40~54% |
|
|
|
|
|
|
|
|
MCV(平均紅血球體積) |
80~96fl |
|
|
|
|
|
|
|
|
MCH(平均紅血球血紅素) |
27.5~33.2pg |
|
|
|
|
|
|
|
|
MCHC(平均紅血球血紅素濃度) |
33.4~35.5g/dl |
|
|
|
|
|
|
|
|
RDW(紅血球分布寬度) |
11.5~14.5% |
|
|
|
|
|
|
|
|
PLT(血小板) |
150,000~350,000 |
|
|
|
|
|
|
|
|
Seg.N(分葉性嗜中性白血球) |
45~75% |
|
|
|
|
|
|
|
|
MONO( 單核球) |
0~9 |
|
|
|
|
|
|
|
|
LYMP(淋巴球) |
20~45% |
|
|
|
|
|
|
|
|
ANC(絕對嗜中性白血球) |
>500~1000 |
|
|
|
|
|
|
|
|
BAND(帶狀型嗜中性白血球) |
0~5 |
|
|
|
|
|
|
|
|
EOS(嗜酸性顆粒球) |
1~3 |
|
|
|
|
|
|
|
|
BASO(嗜鹼性顆粒球) |
0~1 |
|
|
|
|
|
|
|
|
BUN(尿素氮)(腎功能) |
7~20mg/dl |
|
|
|
|
|
|
|
|
CREAT(肌肝酸)(腎功能) |
F:0.5~1.2 M:0.7~1.5 |
|
|
|
|
|
|
|
|
ALT(丙氨酸轉胺脢)(肝功能指數) |
0~40U/L |
|
|
|
|
|
|
|
|
AST(天門冬酸轉胺脢)(肝功能指數) |
5~45U/L |
|
|
|
|
|
|
|
|
ALK-P(酸性磷酸脢) |
10~100U/L |
|
|
|
|
|
|
|
|
LDH(乳酸脫氫脢) |
95~213U/L |
|
|
|
|
|
|
|
|
NA(鈉) |
135-147mmol/L |
|
|
|
|
|
|
|
|
K(鉀) |
3.4-4.7mmol/L |
|
|
|
|
|
|
|
|
CL(氯) |
100-114mmol/L |
|
|
|
|
|
|
|
|
白血球升成素 |
|
|
|
|
|
|
|
|
|
Ucrea 24hrs |
F:0.8~1.8GM/D M:1.0~2.0GM/D |
|
|
|
|
|
|
|
|
尿量 24hrs |
|
|
|
|
|
|
|
|
|
備註: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
此表格為紀錄化學藥劑的劑量,目的在於了解病患注射何種化學藥劑,並與護理人員再次確認化學藥劑的名稱與劑量
BW: 11.7 Kg Ht: 82.5cm BSA: 0.518m2 折數: 6 折 |
|||
IVF-1: |
D5-1/3NS 500cc+15% KCL 3cc or D5-1/2NS 500cc+15% KCL 5cc |
||
IVF-2: |
D5-1/3NS 500cc+15% KCL 3cc+10%MgSO4 2.5cc+10% Cal gluconate 1cc+20% mannitol 15cc |
||
日期 |
治療醫囑 (1 th chemotherapy) |
DOSAGE |
|
96.11.28 |
Check CBC/DC(血球), BUN/Cr(腎), ALT/AST(肝) |
|
|
Start chemotherapy on 96.11.05 (第1次) |
|
||
IVF-1 Keep 60 md/min during ifosphamide |
3000cc/m2/d |
||
Kytrie(止吐)0.5mg beore C/T |
1amp/40kg |
||
|
|||
VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
||
Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
||
|
|
||
96.11.29 |
IVF-2 Keep (86) md/min ivd for 3 hrs |
500cc/m2 |
|
20% mannitol(降腦壓及排水) (26) cc ivd for 15 mins |
50cc/m2 |
||
Navoban(止吐) ( 2 )mg ivd for 15 mins before Cisplatin |
0.2mg/kg |
||
Decadrom ( 5 ) mg ivd for 5 mins befors cisplatin |
5mg, BW<20kg |
||
10mg, BW>20kg |
|||
Cisplatin(白金) ( 28 ) mg in IVF ivd for 1 hrs |
90mg/m2 |
||
IVF-2 Keep ( 86 ) md/min ivd for 6hrs |
1000cc/m2 |
||
Decadrom ( 5 ) mg ivd for 5 mins befors cisplatin |
5mg, BW<20kg |
||
10mg, BW>20kg |
|||
VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
||
Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
||
晚上8點左右吐一次約140cc |
晚上10點多發燒 |
||
晚上10點多發燒至38.5 |
|
||
|
|
|
|
|
VP-16 滅必治 (46.6)mg in IVF ivd for 2 hrs |
150mg/m2 |
|
|
Ifosphamide (0.56)g & mesna 解毒 (0.56)g in IVF ivd for 24 hrs |
80mg/kg |
|
96.11.30 |
3點吐60cc , 5點30吐10cc , 8點30吐20cc , 10點20吐46cc |
|
|
|
早上5點30分打了短效止吐劑 , 10點40打了長效Kytrie(0.5)mg |
|
|
|
發燒4次早上10點下午3點多晚上10點多清晨2點多 |
|
|
|
發燒 |
|
|
96.12.1 |
|
|
|
|
|
|
|
|
|
|