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Non-Muscle Invasive Bladder Cancer
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===== Steps for Successful Perioperative Administration of Intravesical Chemotherapy ===== # '''Include intent to administer perioperative chemotherapy (and agent) on actual operative schedule.''' # '''Contact pharmacy before surgery to have medication available. A written prescription may be required.''' # '''After resection, confirm absence of clinical perforation. Place three-way catheter into bladder while patient is still in operating room. Attach inflow port to saline infusion bag and clamp inflow.''' # '''Administer chemotherapeutic agent through catheter outflow port in recovery room <span style="color:#ff0000">within 6 hours of operation,</span> and clamp outflow tubing with hemostat to allow retention.''' #* '''<span style="color:#ff0000">Efficacy of post-operative instillation significantly decreases if given beyond 24h</span>''' # '''Give order for <span style="color:#ff0000">outflow tubing to be opened 1 hour after administration</span> and for irrigation, to be opened to gravity drainage for next 30-60 minutes.''' # '''Remove Foley catheter and discard in biohazard container.''' # '''Wear gloves'''
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