When should you not give filgrastim?
Filgrastim Precautions: The manufacturer recommends that the first dose of filgrastim be given no sooner than 24 hours after chemotherapy. Your doctor will discontinue therapy with filgrastim when your white blood cell count has reached acceptable levels.
What are nursing considerations for filgrastim?
Be alert for signs of increased white blood cell counts (leukocytosis), including fever, weakness, weight loss, loss of appetite, dizziness, fainting, dyspnea, bleeding/bruising, or pain or tingling in the arms, legs, or abdomen. Report these signs to the physician or nursing staff immediately.
How do you store filgrastim injections?
Filgrastim (Neupogen, Nivestym, Zarxio) may be kept at room temperature for up to 24 hours but should be kept away from direct sunlight. Filgrastim (Granix) may be stored in the freezer for up to 24 hours, or may be kept at room temperature for up to 5 days but should be protected from light.
When should filgrastim be given?
Filgrastim is most often given as a subcutaneous injection (SQ, given under the skin), but it can be given directly into a vein (intravenous, IV). It is given once a day, preferably at the same time of day, until the neutrophil count returns to normal.
How long does it take for filgrastim to wear off?
Neulasta is a long lasting medicine, with peak levels achieved 24 hours after injection, levels drop considerably over the first 7 days and after 14 days there is only a small amount remaining in the body.
How do you administer filgrastim?
Insert the needle into your skin in one quick motion at a 90-degree (straight up and down) angle (see Figure 3). Don’t put your thumb on the plunger yet. After the needle is inserted, let go of your skin. Use your thumb (whichever thumb is more comfortable) to slowly push the plunger all the way down.
How do I open filgrastim?
Use your thumb (whichever thumb is more comfortable) to slowly push the plunger all the way down. Push it until all the medication is injected. When the syringe is empty, pull it straight out of your skin.
Where is filgrastim injected?
Choose an injection site The outer area of your upper arms. Your abdomen (belly), except for the 2-inch area around your belly button. The middle of the front of your thighs. The upper areas of your buttocks.
Where is filgrastim injection given?
Depending on your filgrastim product, this medication is injected under the skin or into a vein. Use as directed by your doctor, usually once a day. The dosage is based on your medical condition, weight, lab tests, and response to treatment.