Rituxan Administration Protocol:
Rate starts at 50 mg/hr, increase by 50 mg/hr every 30 min to max 400 mg/hr
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Rituxan (rituximab) infusion rates must be carefully controlled to minimize infusion reactions. The standard protocol starts at 50 mg/hr with incremental increases every 30 minutes up to a maximum of 400 mg/hr.
The calculator follows the standard Rituxan administration protocol:
Initial Rate: 50 mg/hr
Increase by: 50 mg/hr every 30 minutes
Maximum Rate: 400 mg/hr
The calculator determines:
Details: Gradual rate escalation helps prevent infusion-related reactions which can include fever, chills, rigors, hypotension, and rarely severe reactions including cardiac arrest.
Tips: Enter the initial rate (typically 50 mg/hr) and the current infusion number (1-8). The calculator will show the current rate and next recommended rate.
Q1: Can the initial rate be higher than 50 mg/hr?
A: Only in special circumstances with physician approval and close monitoring.
Q2: What if the patient tolerates the infusion well?
A: The rate should still follow the standard escalation protocol to minimize risk of delayed reactions.
Q3: How long does the full infusion take?
A: Typically 4-6 hours for the first infusion, shorter for subsequent infusions if tolerated.
Q4: What monitoring is required during infusion?
A: Vital signs should be monitored before infusion, at each rate increase, and at completion.
Q5: What if the patient has a reaction?
A: The infusion should be stopped and appropriate medical management initiated.