Nursing considerations for filgrastim

4 days ago · Immunostimulants (Interferons, Interleukins) Immunostimulants or immune stimulants are drugs that energize the immune system when it is exhausted from fighting prolonged invasion or when the immune system needs help fighting a specific pathogen or cancer cell. It is one of the classifications of drug class called immunomodulators ...

Febrile neutropenia (FN) is a serious complication of chemotherapy, which can cause significant morbidity and mortality, result in dose delays and reductions and, ultimately, reduce cancer survival. Over the past decade, the availability of biosimilar filgrastim (short-acting granulocyte colony-stimulating factor [G-CSF]) has transformed patient access, with clear evidence of clinical benefit ...Cathy begins her coverage of nursing precautions, nursing care, and patient teaching associated with cancer treatment. She discusses nursing precautions for ...The recommended dose is 5 to 10 mcg/kg per day. Filgrastim is administered intravenously or subcutaneously (under the skin) for 6 to 14 days. Filgrastim vials should not be shaken since the drug may be damaged, and bubbles may form that can prevent some of the drug from being drawn up into the syringe at the time of injection.If you’re considering a career in nursing but don’t have the time or resources to commit to a traditional four-year degree program, a 6-month nursing program might be an attractive...Antineoplastic Agents, Phytogenic. Topotecan. Topotecan (Hycamtin, SmithKline Beecham, Philadelphia, PA) was approved by the U.S. Food and Drug Administration in 1996 for use in relapsed ovarian cancer and in 1999 for platinum-sensitive small-cell lung cancer. Hematologic toxicity has been the predominant side effect associated with its use.Easter 2021, our family portrait was via Skype. It’s the hardest part so far. I have trusted my mom voice to her nurses and gifted them her memory making days.... Edit Yo...Filgrastim is used to prevent or reduce the risk of infections while you are being treated with cancer medicines. This medicine is also used to help the bone marrow recover after a bone marrow transplantation, for a process called peripheral blood progenitor cell collection in cancer patients, and to improve survival in cancer patients who have ...

What are the Indications for FILGRASTIM-SNDZ? 1 INDICATIONS AND USAGE ZARXIO is a leukocyte growth factor indicated to: ‚Ä¢ Decrease the incidence of infection‚Äö as manifested by febrile neutropenia‚Äö in patients with nonmyeloid malignancies receiving myelosuppressive anti‚Äëcancer drugs associated with a significant incidence ...Filgrastim is a close analog of human granulocyte colony-stimulating factor (G-CSF) that works by stimulating bone marrow production of white blood cells. Commercially available filgrastim therapeutics are currently licensed for use in reducing the duration of post-chemotherapy neutropenia, cyclical neutropenia, neutropenia associated with HIV, and for the mobilization of peripheral blood stem ...Granulocyte colony-stimulating factor (G-CSF)—filgrastim, filgrastim-sndz, tbo-filgrastim, or pegfilgrastim—is indicated for the prevention of chemotherapy-induced neutropenia in patients ...The most recently FDA-approved G-CSF is tbo-filgrastim (Neutroval, Sicor Biotech), a filgrastim biosimilar. All agents are well tolerated. Most importantly, the duration of severe neutropenia, the depth of the absolute neutrophil count nadir, and complications associated with febrile neutropenia are all significantly reduced. ...Filgrastim was approved in the US in 1991 and is the original short-acting recombinant methionyl human G-CSF. [1] It has since remained in use with long-acting versions (pegfilgrastim) and biosimilars increasingly being made since the originator approval with similar indications. [2] [3] [2] This article focuses on the originator filgrastim.Here is a table of commonly encountered antiplatelet, anticoagulant, and thrombolytic agents, their generic names, and brand names: Antiplatelet Agents. acetylsalicylic acid (Aspirin, Aspro Clear, Disprin, Bayer Aspirin) cilostazol (Pletal) dipyridamole (Persantine) tirofiban (Aggrastat) Anticoagulants.A 36-year-old man presented to an emergency room with fever, fatigue, and severe rectal pain. He was subsequently found to be pancytopenic with a perirectal abscess. A bone marrow examination revealed 58% blasts consistent with acute myeloid leukemia. The patient was initiated on clofarabine, idarubicin, and cytarabine therapy. The first cycle of therapy was complicated by neutropenic fever ...of 0.2% (2 mg/mL) to prevent adsorption of filgrastim to glass or plastic administration sets.(24) Compatibility: Dilution in NS may cause precipitation.(3) IV push Not indicated …

ANGIOMAX RTU is a direct thrombin inhibitor indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI), including patients with heparin-induced thrombocytopenia and heparin-induced thrombocytopenia and thrombosis syndrome. ( 1 ) View Our Nursing Pharmacology Course. References: …administration containing filgrastim at a specific activity of 1.0 ± 0.6 x 10 8 U/mg (as measured by a cell mitogenesis assay). The product is available in single-use vials and prefilled syringes. The single-use vials contain either 300 mcg or 480 mcg filgrastim at a fill volume of 1.0 mL or 1.6 mL, respectively. The specific dosing depends on the indication for use. In the outpatient setting, it is much more common to administer peg-filgrastim (Neulasta). It is administered as a single 6mg subcutaneous injection. Only a single dose per cycle of chemotherapy is necessary. A newer formulation of peg-filgrastim, the Neulasta OnPro is another convenient ... There is an incidence rate of 24.6 cases per 1000 persons for cellulitis. In a large epidemiologic study about skin, soft tissue, joint and bone infections, 37.3% of patients were identified as having cellulitis. There are 32.1 to 48.1 visits per 1000 population for skin and soft tissue infections. Visits for abscess and cellulitis increased ...

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Many factors contribute to the cost of nursing home care. Some of these include the services provided, location and length of care. The following guidelines will help you understan...Symptoms may include fever, abdominal pain, feeling tired, and back pain. Call your healthcare provider if you experience these symptoms. The most common side effects experienced in patients receiving NIVESTYM include: •. Patients with cancer receiving chemotherapy: fever, pain, rash, cough, and shortness of breath.Nursing Interventions. Client Education. Carina Carino Leukopoietic -- Growth Factors: Documenting Effectiveness of FilgrastimTherapy. Glycoprotein filgrastim binds to and stimulates immature neutrophils to divide and differentiate. Also activates mature neutrophils. iv subq injection. cytotoxic durgsFilgrastim Granulocyte Colony-Stimulating Factor / administration & dosage Granulocyte Colony-Stimulating Factor / therapeutic use* Humans Infant, Newborn Infant, Premature, Diseases / drug therapy* Male Neutropenia / congenital* ...Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.The active substance is tbo-filgrastim. GRANIX 300 mcg/0.5 mL: Each prefilled syringe contains 300 mcg of tbo-filgrastim in 0.5 mL solution with a blue plunger in: Pack of 1 with a safety needle guard in blister: NDC 63459-910-11. Packs of 10 with a safety needle guard in blisters: NDC 63459-910-15.

Do not use longer than 12 wk. Prevention of postoperative nausea and vomiting: 10-20 mg IM at the end of surgery. Prevention of chemotherapy-induced emesis: Dilute and give by IV infusion over at least 15 min. Give first dose 30 min before chemotherapy; repeat q 2 hr for 2 doses, then q 3 hr for 3 doses. The initial two doses should be 2 mg ...nursing considerations for pegfilgrastim-hypersensitivity to filgrastim/E.coli-pts with sickle cell-concurrent use of lithium-malignancy with myeloid characteristics-pregnancy-nursing-ARDS-sickle cell crisis-splenic rupture-anaphylaxis-capillary leak syndrome. nursing pre administration assessmentFilgrastim is a man-made version of G-CSF that stimulates white blood cell production, and in particular, neutrophil production. A neutrophil is a type of white blood cell that is responsible for fighting infection and is often decreased during cancer therapy. When the number of these cells drops below 1000/mm3, it is called neutropenia, which ...Veklury is administered via intravenous infusion for a total treatment duration of 3 days. Although Veklury is an approved alternative treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for ...Filgrastim is a prescription medication used to reduce the risk of infection in people with some tumors receiving strong chemotherapy that decreases the number of infection-fighting white blood cells known as neutrophils. Filgrastim belongs to a group of drugs called colony stimulating factors, which stimulate the body to produce neutrophils.. This medication comes in an injectable form that ...Appropriate culture and susceptibility tests should be done before treatment in order to isolate and identify organisms causing infection and to determine their susceptibility to penicillin G. Therapy with Penicillin G Potassium Injection, USP may be initiated before results of such tests are known when there is reason to believe the infection ...1 INDICATIONS AND USAGE NEUPOGEN is a leukocyte growth factor indicated to Decrease the incidence of infection‚Äö as manifested by febrile neutropenia‚Äö in …Decrease in edema. Decrease in abdominal girth and weight. Increase in urinary output. Decrease in BP. Find information on Furosemide (Furoscix, Lasix) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.

Contraindication. NEUPOGEN ® is contraindicated in patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors (G-CSFs), such as filgrastim or pegfilgrastim; Splenic Rupture. Splenic rupture, including fatal cases, can occur following the administration of NEUPOGEN ®; Evaluate patients who report left …

For neonates, 15-20 mg/kg in divided doses of 5-10 mg/kg is recommended. Phenytoin and phenytoin sodium, oral. Children not previously treated: Initially, 5 mg/kg/day in two to three equally divided doses. Subsequent dosage should be individualized to a maximum of 300 mg/day. Daily maintenance dosage is 4-8 mg/kg.At a nursing home, skilled staff and health care providers offer around-the-clock care. Nursing homes can provide a number of different services: At a nursing home, skilled staff a...Infections, other health conditions and exposure to chemicals can also lead to severely low neutrophil levels. Causes of acquired agranulocytosis include: Autoimmune diseases, including lupus and rheumatoid arthritis. Bone marrow disease and bone marrow failure disorders like aplastic anemia. Cancers that affect your bone marrow, like leukemia.Anaerobic bacterial infection: 15 mg/kg IV infused over 1 hr; then 7.5 mg/kg infused over 1 hr q 6 hr for 7-10 days, not to exceed 4 g/day. Prophylaxis: 15 mg/kg infused IV over 30-60 min and completed about 1 hr before surgery. Then 7.5 mg/kg infused over 30-60 min at 6- to 12-hr intervals after initial dose during the day of surgery only.Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF. Download the app! ... Nursing Central is an award-winning, complete mobile solution for nurses and students. ...Pharmacology Indication. Filgrastim is indicated to decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever. 8 Filgrastim is indicated for reducing the time to neutrophil recovery and the duration of fever ...Pharmacology Part 3. - involves using three to four HIV medications in combination with other antiretroviral medications to reduce medication resistance, adverse effects, and dosages. - an aggressive treatment method using three or more different medications to reduce the amount of virus and increase CD4 counts. Click the card to flip 👆.

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General guidelines, 0.5-1 unit/kg/day. The number and size of daily doses, times of administration, and type of insulin preparation are determined after close medical scrutiny of the patient's blood and urine glucose, diet, exercise, and intercurrent infections and other stresses. Usually given subcutaneously.DIVALPROEX SODIUM (Depakote Sprinkles) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice NCLEX Questions; 2,000+ HD Videos; 300+ Nursing Cheatsheets; Start Free TrialWhat are three (3) nursing considerations for this medication? Answer Key Administer filgrastim via intermittent IV bolus, continuous IV, subcutaneous infusion, or subcutaneous injection. Do not agitate the vial of medication.Epoetin alfa is a medication used in the management of anemia secondary to bone marrow failure. It is one of the erythropoiesis-stimulating classes of drugs. This activity outlines the indications, action, and contraindications of epoetin alfa. This activity will highlight the mechanism of action, adverse event profile, and other key factors (e.g., …Know all the information nurses need to understand about different diagnostic tests and laboratory exams.Learn about the nursing responsibilities and nursing considerations during each diagnostic procedure, indications, how to prepare your patient, your roles as a nurse, the nursing interventions and implications for each procedure, and know how to interpret the results.Nursing Diagnosis. Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death.The Oncology Nursing Society (ONS) is a professional association that represents 100,000 nurses and is the professional home to more than 35,000 members. ONS is committed to promoting excellence in oncology nursing and the transformation of cancer care. Since 1975, ONS has provided a professional community for oncology nurses, developed evidence-based education programs and treatment ...ATI - Filgrastim - ATI active learning template. Nursing Comprehension Exam 100% (9) 1. Nitroglyercin ATI MEDICATION TEMPLATE. Nursing Comprehension Exam 100% (1) 1. Oxybutynin ATI MEDICATION TEMPLATE. Nursing Comprehension Exam 50% (2) 1.Filgrastim. Filgrastim is a 175-amino acid recombinant protein expressed in Escherichia coli. The filgrastim peptide has the same amino acid sequence as endogenous human G-CSF with the exception that the backbone of the molecule is not glycosylated and the N-terminus is a methionine.Endogenous human G-CSF is a lineage-specific …Pain and anxiety are additional symptom management considerations. Filgrastim-associated back pain should be managed with appropriate analgesic support. Anti-anxiolytics in conjunction with complementary therapies may be used to effectively manage anxiety and pain. ... The Oncology Nursing Society (ONS) is a professional association that ...Nursing Implications. Assessment & Drug Effects. Withhold drug and notify physician when serum ferritin level equals or exceeds established guidelines. Stop infusion and notify physician for S&S overdosage or infusing too rapidly: hypotension, edema; headache, dizziness, nausea, vomiting, abdominal pain, joint or muscle pain, and paresthesia. ... ….

Antihistamines selectively block the effects of histamine at the histamine-1 receptor sites, decreasing the allergic response. Antihistamines are used for the relief of symptoms associated with seasonal and perennial allergic rhinitis, allergic conjunctivitis, uncomplicated urticaria, and angioedema.. Learn about the uses and nursing care plan considerations and nursing diagnoses needed for ... aka. neupogen. class. increase neutrophil production, colony-stimulating factor. actions. increase neutrophil production in bone marrow and enhance phagocytoic and cytotoxic function of existing neutrophils. who does it help. pt. with neutropenia assoc. w/ bacterial and fungal infections. who gets it. The active substance in Zarzio, filgrastim, is very similar to a human protein called granulocyte colony stimulating factor (G-CSF). Filgrastim is produced by a method known as 'recombinant DNA technology': it is made by a bacterium that has received a gene (DNA), which makes it able to produce filgrastim.All countries currently using filgrastim are urged to audit current usage to determine if under-dosing is commonplace, by number of doses and/or weight, and the implications of this on planned chemotherapy schedules and RDI (See Online Resource 1 in the electronic supplementary material for a suggested minimum dataset).Acetaminophen poisoning is an overdose of the over-the-counter (OTC) pain medication, acetaminophen (eg, Tylenol, Biogesic), which is usually safe when used as recommended. The maximum daily dose of acetaminophen is four (4) grams, but patients with chronic diseases (especially liver disease) may need to limit themselves to three (3) grams a day.Contraindication. NEUPOGEN ® is contraindicated in patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors (G-CSFs), such as filgrastim or pegfilgrastim; Splenic Rupture. Splenic rupture, including fatal cases, can occur following the administration of NEUPOGEN ®; Evaluate patients who report left upper abdominal or shoulder pain for an enlarged ...inflammation of your blood vessels - numbness or tingling, skin rash, fever, headache, body aches, night sweats, weight loss, feeling or weak or tired; or. kidney problems - swelling, urinating less, feeling tired or short of breath. Common Neupogen side effects may include: fever, pain, cough, trouble breathing;Description for Neulasta. Pegfilgrastim is a covalent conjugate of recombinant methionyl human G-CSF (filgrastim) and monomethoxypolyethylene glycol. Filgrastim is a water-soluble 175 amino acid protein with a molecular weight of approximately 19 kilodaltons (kD). Filgrastim is obtained from the bacterial fermentation of a strain of E coli transformed with a genetically engineered plasmid ...PEGFILGRASTIM (PEG fil gra stim) lowers the risk of infection in people who are receiving chemotherapy. It works by helping your body make more white blood cells, which protects your body from infection. It may also be used to help people who have been exposed to high doses of radiation.Filgrastim is a type of medication given to patients with low neutrophil count (neutropenia) commonly caused by some cancers, chemotherapy, bone marrow transplant, etc.. Basically, it stimulates the formation of CFU-G in order to produce more neutrophils to decrease incidence of infections in susceptible patients. Some nursing considerations: Nursing considerations for filgrastim, kidney problems --swelling, urinating less, feeling tired or short of breath. Common side effects may include: rash, hair loss. This is not a complete list of side effects and others may occur ..., Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF., This activity outlines the indications, actions, contraindication, adverse effects, and other important details of filgrastim as it pertains to members of the interprofessional team in clinical practice in the management of neutropenia and its clinical sequelae., Evaluation. Finally, it is important to always evaluate the patient’s response to a medication. Some CNS medications will take weeks to become therapeutic for the patient. It is key to teach the patient about when the medication is expected to produce an effect. Nurses should assess for mood, behavior, and movement improvement., Adults—6 milligrams (mg) as a single injection under the skin once every cancer treatment cycle. Children weighing more than 45 kilograms (kg)—Dose is based on body weight and must be determined by your doctor. It is usually 6 milligrams (mg) as a single injection under the skin once every cancer treatment cycle., If you’re a nurse looking to advance your career and showcase your expertise, obtaining an ANCC nursing certification may be the perfect next step. The first step in obtaining an A..., Nursing Considerations for Hydralazine. Gather the patient's health information. These include past and present medical history specifically the history of heart attack, coronary artery disease, rheumatic heart disease, liver or kidney increase. For a patient with a history or current heart problem, taking Hydralazine may worsen the condition., TBO-FILGRASTIM (GRANIX) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice NCLEX Questions; 2,000+ HD Videos; 300+ Nursing Cheatsheets; Start Free Trial "Would suggest to all nursing students . . . Guaranteed to ease the stress!", Here is a table of commonly encountered antiplatelet, anticoagulant, and thrombolytic agents, their generic names, and brand names: Antiplatelet Agents. acetylsalicylic acid (Aspirin, Aspro Clear, Disprin, Bayer Aspirin) cilostazol (Pletal) dipyridamole (Persantine) tirofiban (Aggrastat) Anticoagulants., Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Happy Nurses Week! National Nurses Week occurs every year from May 6-12 in honor o..., Safety Considerations. Overall safety profile of tbo-filgrastim in the clinical trial program was similar to that of Neupogen™. Serious adverse events were reported in the range of 14.1% to 30.4%. Severe adverse events were reported in 17.4% to 40.1%. Deaths during study were not due to the study drug. Updated December 2014., Anticoagulant Patient Education Nursing. Anticoagulants are a group of drugs that are used to prevent blood clot formation. Blood clots are clumps of blood products that can form in the blood vessels. These clots can dislodge and travel into the circulation and get stuck in arteries and veins causing serious medical emergencies such as stroke ..., Filgrastim is a man-made version of G-CSF that stimulates white blood cell production, and in particular, neutrophil production. A neutrophil is a type of white blood cell that is responsible for fighting infection and is often decreased during cancer therapy. When the number of these cells drops below 1000/mm3, it is called neutropenia, which ..., Know all the information nurses need to understand about different diagnostic tests and laboratory exams.Learn about the nursing responsibilities and nursing considerations during each diagnostic procedure, indications, how to prepare your patient, your roles as a nurse, the nursing interventions and implications for each procedure, and know how to interpret the results., Antiviral Drugs: Generic and Brand Names. Here is a table of commonly encountered antivirals, their generic names, and brand names: Influenza A and Respiratory Viruses Drugs. amantadine (Symmetrel) oseltamivir (Tamiflu) ribavirin (Rebetron, Virazole) rimantadine (Flumadine) zanamivir (Relenza) Herpes and Cytomegaloviruses (CMV) …, Filgrastim is a medication used to manage and treat neutropenia in patients with myelosuppression from chemotherapy or radiation, which increases the risk of infection and related events. This activity outlines the indications, actions, contraindication, adverse effects, and other important details of filgrastim as it pertains to members of the ..., Study this Filgrastim NCLEX mnemonic and other mnemonics with Pixorize.Filgrastim is a medication used to treat leukopenia or neutropenia in patients. It wor..., Mobilisation of peripheral blood progenitor cells, used following adjunctive myelosuppressive chemotherapy (to improve yield) (specialist use only) By subcutaneous injection. Adult. 150 micrograms/m 2 daily until neutrophil count stable in acceptable range, to be started 1-5 days after completion of chemotherapy, for timing of leucopheresis ..., Nursing Implications. Assessment & Drug Effects. Monitor for therapeutic effectiveness: Anticipated response to parenteral iron therapy is an average weekly hemoglobin rise of about 1 g/d. Peak levels are generally reached in about 4-8 wk. Note: Systemic reactions may occur over 24 h after parenteral iron has been administered., GRANIX 300 mcg/0.5 mL: Each prefilled syringe contains 300 mcg of tbo-filgrastim in 0.5 mL solution with a blue plunger in: Pack of 1 without a safety needle guard (for patients and caregivers): NDC 63459-910-17. Packs of 5 without a safety needle guard (for patients and caregivers): NDC 63459-910-36., Filgrastim and pegfilgrastim are used to assist recovery in patients with low white blood cell counts. This article explores the dosing, efficacy, cost, and clinical considerations of filgrastim and pegfilgrastim in neutropenia care. Increased knowledge of the medications may contribute to positive patient outcomes., Comparison of daily filgrastim and pegfilgrastim to prevent febrile neutropenia in Asian lymphoma patients. Asia-Pacific Journal of Clinical Oncology, 7 , 75-81. DOI Link, Filgrastim. This information from Lexicomp explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call …, Administration. Give with a full glass of water if allowed. Store syrup formulations in tight, light-resistant containers at 15° 30° C (59° 86° F) unless directed otherwise. Microenema: Insert full length of nozzle (half length for children) into the rectum. Squeeze entire contents of tube and remove completely before releasing grip on tube., Before the first granulocyte colony-stimulating factor (G-CSF) filgrastim (Neupogen) was launched in the UK in 1991, little could be done to prevent the neutropenia and potentially life-threatening infection associated with some of the chemotherapy regimens of the day. Barry Hancock, emeritus professor of oncology at the University of Sheffield, recalls that chemotherapy in the 1980s […], Anticoagulant Patient Education Nursing. Anticoagulants are a group of drugs that are used to prevent blood clot formation. Blood clots are clumps of blood products that can form in the blood vessels. These clots can dislodge and travel into the circulation and get stuck in arteries and veins causing serious medical emergencies such as stroke ..., Preface. At CancerCare Manitoba (CCMB) the Clinical Practice Guidelines Initiative (CPGI) seeks to improve patient outcomes in terms of survival and quality of life through the development, dissemination, implementation, and evaluation of guidelines for the management of common clinical scenarios encountered by cancer patients throughout the ..., Neupogen ® (filgrastim) is a drug that has been used successfully for cancer patients to stimulate the growth of the white blood cells, making patients less vulnerable to infections, it is expected to help patients who have bone marrow damage from very high doses of radiation in much the same way. A person who has received a very high dose of ..., When considering a career as a registered nurse, one of the most important factors to take into account is the starting salary. The starting salary for registered nurses can vary g..., Filgrastim Self-Care Tips: If you are performing your own subcutaneous self-injections, remove the syringe from the refrigerator 30 minutes prior to injection. This will reduce local stinging at the injection site. You may experience bone or joint pain as a result of this medication. Ask your healthcare provider if you may take a mild pain ..., Appropriate culture and susceptibility tests should be done before treatment in order to isolate and identify organisms causing infection and to determine their susceptibility to penicillin G. Therapy with Penicillin G Potassium Injection, USP may be initiated before results of such tests are known when there is reason to believe the infection ..., The difference in the serum concentration profiles of filgrastim with multiple dosing is mostly related to increasing neutrophil counts, which in turn leads to an increase in cellular clearance of filgrastim. The C max occurred 4–6 h after the first dose and 3.5–4.5 h after the tenth dose., Nursing Care Plan for Chemotherapy 3. Risk for Infection. Nursing Diagnosis: Risk for Infection related to inadequate secondary defenses, immunosuppression secondary to chemotherapy for skin cancer. Desired Outcomes: The patient will remain free from infection and will be able to achieve timely healing as appropriate.