Re: Methotrexate

From: Joanne Bulley, MD (islesannie@gmail.com)
Mon Apr 30 23:56:50 2007


Gifing methotrexate IM is really easy.

Yes you have to figure your dose - but my epocrates has the Body surface area calculator in the MedMath part. So you have height and weight and it gives you the BSA in m2 - you then multiply that times 50mg per m2. The vials I have are 4 cc for 100mg. Most everyone comes to between 75 - 90 mg - or 3 to 4 cc. You draw it up and give the IM dose.

If you don't trust the nurses to do the math - then you do it and the nurse can draw it up and give it. I believe my cost for the MTX is about $8 per 100mg vial.

Jaonne

At Mon, 30 Apr 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: >
>Actually, I was apparently wrong. It is not a cost issue as I am told
>both are very inexpensive. It is a handling issue with the injectable
>needing special training to both make the dose and administer the dose.
>
>Glen
>

--
Joanne Bulley, MD, FACOG
Solo gyn
Keene, NH USA




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