<?xml version="1.0" encoding="ISO-8859-1" standalone="yes"?>
<CourseDefinition>
  <Schema>
    <Version>3.0</Version>
    <Date>20120717</Date>
  </Schema>
  <Details>
    <RegimId>NRB-389</RegimId>
    <Name>Hyper-CVAD kur 2,4,6,8</Name>
    <ShortName/>
    <MajorVersion>1</MajorVersion>
    <MinorVersion>9</MinorVersion>
    <DefinitionStatus>COMPLETED</DefinitionStatus>
    <PatientMaxSurface/>
    <CourseICDZCode>NONE</CourseICDZCode>
    <CourseAUC>0.00</CourseAUC>
    <MaxAge/>
    <CycleLength>14</CycleLength>
    <ValidForAllDiagnoses/>
    <IsStudyDefinition>NO</IsStudyDefinition>
    <PhysicianComment>Emetogenicitet:Hög.\n\nKurintervall: 14 dagar.\n\n</PhysicianComment>
    <NurseComment/>
    <PharmacistComment/>
    <PatientComment/>
    <ExternalDocumentation/>
    <ExternalPhysicianDoc>https://kunskapsbanken.cancercentrum.se/redirect/regim/389</ExternalPhysicianDoc>
    <ExternalNurseDoc>https://kunskapsbanken.cancercentrum.se/redirect/regim/389</ExternalNurseDoc>
    <ExternalPharmacistDoc/>
    <ExternalPatientDoc/>
    <Rounding/>
    <HasSteps/>
  </Details>
  <Miscellaneous>
    <OriginOfExport>Regimbiblioteket</OriginOfExport>
    <IsAuthorized/>
    <CommittedBy/>
    <CreatedBy/>
    <CreatedDate>20260421</CreatedDate>
  </Miscellaneous>
  <Diagnoses>
    <Diagnose Text="Lymfom"/>
  </Diagnoses>
  <Protocols/>
  <AdditionalInformation/>
  <Days>
    <Day Number="1">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Spoldropp att fördelas mellan och efter sista läkemedlet"/>
          </Comments>
        </Line>
        <Line Number="2">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="Antiemetika">
            <Dose Max="">0</Dose>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Tablett/Injektion Antiemetika"/>
          </Comments>
        </Line>
        <Line Number="3">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="4">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>1</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Med tillsats av Natriumbikarbonat 120 mmol (=200 mL Natriumbikarbonat 50 mg/mL) och Kaliumklorid 20 mmol"/>
          </Comments>
        </Line>
        <Line Number="5">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IT</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metotrexat">
            <Dose Max="">12</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="6">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>30</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="rituximab">
            <Dose Max="">375</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="7">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol (100 mL Natriumbikarbonat 50 mg/mL) och Kaliumklorid 20 mmol.\nStartas och går parallellt med Metotrexatinfusionerna"/>
          </Comments>
        </Line>
        <Line Number="8">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>2</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metotrexat">
            <Dose Max="">200</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Kontroll av U-pH, ska vara &gt;7. Om inte ges Natriumbikarbonat 60 mmol (=100 mL Natriumbikarbonat 50 mg/mL)"/>
          </Comments>
        </Line>
        <Line Number="9">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>22</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metotrexat">
            <Dose Max="">800</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="10">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="11">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
      </Lines>
    </Day>
    <Day Number="2">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Spoldropp att fördelas mellan och efter sista läkemedlet"/>
            <Comment Text="Kontroller av S-metotrexat timme 24, 42, 48, 54 tills konc &lt; 0,1 mikromol/L."/>
            <Comment Text="Kontroll av U-pH, ska vara &gt;7"/>
          </Comments>
        </Line>
        <Line Number="2">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="Antiemetika">
            <Dose Max="">0</Dose>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Tablett/Injektion Antiemetika"/>
          </Comments>
        </Line>
        <Line Number="3">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="4">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
        <Line Number="5">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>3</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="cytarabin">
            <Dose Max="">3000</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="6">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Med tillsats av Natriumbikarbonat 60 mmol och kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
        <Line Number="7">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="8">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Spoldropp att fördelas mellan och efter sista läkemedlet"/>
          </Comments>
        </Line>
        <Line Number="9">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>3</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="cytarabin">
            <Dose Max="">3000</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="(Startas 12 timmar efter föregående start av Cytarabin-infusion.)"/>
          </Comments>
        </Line>
        <Line Number="10">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
      </Lines>
    </Day>
    <Day Number="3">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Spoldropp att fördelas mellan och efter sista läkemedlet"/>
            <Comment Text="Kontroller av S-metotrexat timme 24, 42, 48, 54 tills konc &lt; 0,1 mikromol/L."/>
            <Comment Text="Kontroll av U-pH, ska vara &gt;7"/>
          </Comments>
        </Line>
        <Line Number="2">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="Antiemetika">
            <Dose Max="">0</Dose>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Tablett/Injektion Antiemetika"/>
          </Comments>
        </Line>
        <Line Number="3">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">30</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Startas 42 timmar efter start av infusion Metotrexat. Ges därefter var 6:e timme peroralt eller intravenöst med dosen 15 mg.)"/>
          </Comments>
        </Line>
        <Line Number="4">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="5">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
        <Line Number="6">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>3</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="cytarabin">
            <Dose Max="">3000</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="(Startas 12 timmar efter föregående start av Cytarabin-infusion"/>
          </Comments>
        </Line>
        <Line Number="7">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="8">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
        <Line Number="9">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="10">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>IVINJ</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>5</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="metylprednisolon">
            <Dose Max="">40</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="11">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>250</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Spoldropp att fördelas mellan och efter sista läkemedlet"/>
          </Comments>
        </Line>
        <Line Number="12">
          <Details>
            <Type>SUBSTANCE</Type>
            <Route>IVINF</Route>
            <InfusionHours>3</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>PHARMACY</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="cytarabin">
            <Dose Max="">3000</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>SURFACE</Calculation>
          </Substance>
          <Fluid Name="Natriumklorid 9 mg/ml">
            <Volume>500</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Ges 12 timmar efter den första infusionen med Cytarabin.)"/>
          </Comments>
        </Line>
        <Line Number="13">
          <Details>
            <Type>FLUID</Type>
            <Route>IVINF</Route>
            <InfusionHours>8</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Fluid Name="Glukos 50 mg/ml">
            <Volume>1000</Volume>
            <Steps>0</Steps>
            <Unit>ML</Unit>
            <Calculation/>
          </Fluid>
          <Comments>
            <Comment Text="Intravenös infusion - hydrering"/>
            <Comment Text="Tillsatser Natriumbikarbonat 60 mmol och Kaliumklorid 20 mmol."/>
          </Comments>
        </Line>
        <Line Number="14">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="4">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="2">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="3">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
        <Line Number="4">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>PO</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="kalciumfolinat (vattenfritt)">
            <Dose Max="">15</Dose>
            <Steps>0</Steps>
            <Unit>MG</Unit>
            <Calculation>STANDARD</Calculation>
          </Substance>
          <Fluid Name="Ej aktuellt">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="6">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="7">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="8">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="9">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="10">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="11">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="12">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
    <Day Number="13">
      <Details>
        <Name/>
        <ConfirmationMandatory>NO</ConfirmationMandatory>
        <Comment/>
      </Details>
      <CriticalParameters/>
      <Lines>
        <Line Number="1">
          <Details>
            <Type>ANTIDOTE</Type>
            <Route>SC</Route>
            <InfusionHours>0</InfusionHours>
            <InfusionMinutes>0</InfusionMinutes>
            <ProductionBy>WARD</ProductionBy>
            <RelationType>NONE</RelationType>
          </Details>
          <Substance Name="filgrastim">
            <Dose Max="">0.5</Dose>
            <Steps>0</Steps>
            <Unit>ME</Unit>
            <Calculation>WEIGHT</Calculation>
          </Substance>
          <Fluid Name="Ingen spädning">
            <Volume/>
            <Unit/>
            <Calculation/>
          </Fluid>
          <Comments/>
        </Line>
      </Lines>
    </Day>
  </Days>
</CourseDefinition>
