Telephone Triage Guidelines - St. James's Hospital

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HAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESGrade 1 – 2 DiarrhoeaDIARRHOEAASKACTIONWhat chemotherapyregimen is the patient on?1. If on Irinotecan – see guidelines page 14.2. If on Capecitabine – see guidelines page15.3. If on 5fu infusor consider taking advice fordisconnection of infusor (this must only beperformed by trained professionals/carer).4. If patient is pyrexial see infectionguidelines page 4 & 5.5. Obtain stool specimen.IF NONE OF THE ABOVE......Is the patient takingLoperamide?NoDiscuss with medical doctor. ? obtainprescription for Loperamide and fax topatient‟s pharmacy.YesAfter every episode?YesNoAssess in HODW/WSW/DBW/A&EAdvise patient to take Loperamide after everyepisode of diarrhoea until bowel motions havereturned to baselineREMEMBER TO ALSO ASK.....Are they eating anddrinking? (At least 2-3 litres per day)YesNoNo intervention required at presentAdvise to drink more and arrange reviewwithin 12-24 hoursHOPe Directorate, St. James‟s Hospital V2 201212
HAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESDIARRHOEAGrade 3 DiarrhoeaASKACTIONWhat chemotherapyregimen is the patient on?1. If on Irinotecan refer to guideline onpage 14.2. If on Capecitabine refer to guidelineon page 15.3. If on 5fu infusor arrange fordisconnectionAre they eating?Are they drinking morethan 2-3 litres per day?NoAssess patient inHODC/WSW/DBW/A&EPatient must be assessed in an isolationroomAre they takingLoperamide and CodeinePhosphate?Are they drinking morethan 2-3 litres per day?Grade 4 DiarrhoeaYesBring to isolation room inHODC/WSW/DBW/A&E forassessment.Arrange for an immediate assessment in HODC/WSW/DBW/A&EHOPe Directorate, St. James‟s Hospital V2 201213
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Page 18 and 19: MucositisDry mouthXerostomiaHAEMATO
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Telephone Triage Guidelines - St. James's Hospital

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