<?xml version="1.0" encoding="ISO-8859-1" standalone="yes"?>
<CourseDefinition>
  <Schema>
    <Version>3.0</Version>
    <Date>20120717</Date>
  </Schema>
  <Details>
    <RegimId>NRB-12564</RegimId>
    <Name>VDC+Dexrazoxan</Name>
    <ShortName/>
    <MajorVersion>1</MajorVersion>
    <MinorVersion>11</MinorVersion>
    <DefinitionStatus>COMPLETED</DefinitionStatus>
    <PatientMaxSurface/>
    <CourseICDZCode>NONE</CourseICDZCode>
    <CourseAUC>0.00</CourseAUC>
    <MaxAge/>
    <CycleLength>14</CycleLength>
    <ValidForAllDiagnoses/>
    <IsStudyDefinition>NO</IsStudyDefinition>
    <PhysicianComment>Emetogenicitet:Hög.\n\nDiagnoskod: C40, C41, C49.\n\nKurintervall: 14 dagar.\n\n</PhysicianComment>
    <NurseComment/>
    <PharmacistComment/>
    <PatientComment/>
    <ExternalDocumentation/>
    <ExternalPhysicianDoc>https://kunskapsbanken.cancercentrum.se/redirect/regim/12564</ExternalPhysicianDoc>
    <ExternalNurseDoc>https://kunskapsbanken.cancercentrum.se/redirect/regim/12564</ExternalNurseDoc>
    <ExternalPharmacistDoc/>
    <ExternalPatientDoc/>
    <Rounding/>
    <HasSteps/>
  </Details>
  <Miscellaneous>
    <OriginOfExport>Regimbiblioteket</OriginOfExport>
    <IsAuthorized/>
    <CommittedBy/>
    <CreatedBy/>
    <CreatedDate>20260408</CreatedDate>
  </Miscellaneous>
  <Diagnoses>
    <Diagnose Text="Sarkom"/>
  </Diagnoses>
  <Protocols/>
  <AdditionalInformation/>
  <DoseSteps>
    <Steps Id="228">
      <Name>Plasmalyte-Mesna</Name>
      <Qualifier>BSA</Qualifier>
      <FluidSteps>YES</FluidSteps>
      <Contents>
        <Step>
          <StepFrom>0.00</StepFrom>
          <StepTo>2.50</StepTo>
          <StepValue>2000</StepValue>
          <StepCalculation>NONE</StepCalculation>
          <InfusionTime>1440</InfusionTime>
        </Step>
      </Contents>
    </Steps>
  </DoseSteps>
  <Days>
    <Day Number="1">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>15</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>DAY</RelationType>
            <RelatedToDayNumber>0</RelatedToDayNumber>
            <RelatedToLineNumber>0</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="vinkristin">
            <Dose Max="2">2</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>50</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="2">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>3</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>END</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>1</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="mesna">
            <Dose Max="">500</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="3">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINF</Route>
            <InfusionHours>24</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>END</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>2</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="mesna">
            <Dose Max="">1500</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Plasmalyte">
            <Volume>0</Volume>
            <Steps>228</Steps>
            <Unit>ML</Unit>
            <Calculation>SURFACE</Calculation>
          </Fluid>
          <Comments>
            <Comment Text="Tillsats: 750 mg Mesna / 1000 ml Plasmalyte"/>
          </Comments>
        </Line>
        <Line Number="4">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>15</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>START</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>3</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="dexrazoxan">
            <Dose Max="">375</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Specialspädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Ges direkt före Doxorubicin"/>
          </Comments>
        </Line>
        <Line Number="5">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>1</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>END</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>4</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="doxorubicin">
            <Dose Max="">37.5</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>100</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="6">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>1</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>END</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>5</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="cyklofosfamidmonohydrat">
            <Dose Max="">1200</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="2">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>15</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>START</RelationType>
            <RelatedToDayNumber>1</RelatedToDayNumber>
            <RelatedToLineNumber>4</RelatedToLineNumber>
            <RelationOffset>1440</RelationOffset>
          </Details>
          <Substance Name="dexrazoxan">
            <Dose Max="">375</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Specialspädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="2">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>1</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>END</RelationType>
            <RelatedToDayNumber>2</RelatedToDayNumber>
            <RelatedToLineNumber>1</RelatedToLineNumber>
            <RelationOffset>0</RelationOffset>
          </Details>
          <Substance Name="doxorubicin">
            <Dose Max="">37.5</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>100</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
  </Days>
</CourseDefinition>
