cisplatin (Platinol) question?

Question

if I'm receiving cisplatin (Platinol) intravenous chemotherapy, which of the following prescriptions would be questioned?
a. a bolus dose of furosemide
b. intravenous fluids at 150 cc per hour
c. Reglan 30 to 60 minutes prior to cisplatin
d. a follow-up appointment for a bone marrow test in 2 weeks

thank you

I know that c. is not the answer since Reglan is usually given 30 minutes prior to cisplatin.

Answer 1

The answer is (b). You should have intravenous fluids of minimum of 100 to 150 cc per hour before and while administrating Cisplatin for Cancer Chemotheraphy. This is a must. Before and while receiving cisplatin large volumes of intravenous fluids are given to keep the kidneys flushed with water. If patients have severe kidney problems the physician will either not use cisplatin or decrease the dose being used.Cisplatin may cause the body to waste normal electrolytes that circulate in the body (potassium, magnesium, phosphate, sodium, calcium) resulting in low levels of these electrolytes.

For all these reasons enough quantity offluids should be given.-