Telephone Triage Guidelines - St. James's Hospital

HAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESDIARRHOEATREATMENT OF DIARRHOEA FOR PATIENTS ON CAPECITABINE (XELODA)If the patient has any of the following symptoms:ASKACTIONDiarrhoea: If the patient has had morethan 4 bowel movements each day orany diarrhoea at night since takingCapecitabine, or diarrhoea at night?Vomiting: If the patient has beenvomiting more than once in a 24 hourtime period?1. Advise patient to STOPCapecitabine and referto Capecitabineguidelines.Nausea: If the patient feels the need tobe sick? This may result in a reducedappetite.Stomatitis: If the patient has pain,redness, swelling or sores in theirmouth?Hand and foot skin reaction: If thepatient has pain, swelling and rednessof their hands and or feet?2. Use clinical judgementand refer to relevantsymptom managementguidelines for furtheradvice and considerationof admitting to hospital.3. Complete telephoneproforma.Fever or infection: If the patient has atemperature of 38C or greater or othersigns of infection?HOPe Directorate, St. James‟s Hospital V2 201215