Chemo dosing for patients with high BMI

Chemo dosing for patients with high BMI

Published on 9 May 2021
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AS
Aya Sato-DiLorenzo
Aya's Personal Gallery
Transcript
00:01
Do obese patients have unique dosing needs?
00:02
Aya Sato-DiLorenzo, RN, OCN, BMTCN
00:02
May 8, 2021
00:07
WE WILL BE COVERING 3 MAIN TOPICS
00:09
Cytotoxic Chemotherapy
00:10
Checkpoint inhibitors
00:11
Carbooplatin dosing
00:16
TOPIC 1
00:18
Chemotherapy
00:19
Many providers used to utilize alternative dose calculation for obese patients (e.g.. BSA capping, ideal body weight). Since 2012, ASCO recommends clinicians order and deliver doses based on a patient’s actual body weight. Patient-specific factors may influence provider decisions.
00:29
TOPIC 2
00:30
Checkpoint Inhibitors
00:31
2021 Revised ASCO guideline recommends FDA-approved prescribing info in all patients regardless of obesity status.
00:42
TOPIC 3
00:43
Carboplatin
00:44
00:44
Per recommendations from the Gynecologic Oncology Group, adjusted body weight is used for patients who are overweight or obese. Various calculators are available to obtain adjusted body weight, including the one in Lexicomp.
00:54
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