Case Report
Ifosfamide May Be Safely Used in Patients with End Stage Renal Disease on Hemodialysis
Table 2
Proposed plan for nonoliguric patients with ESRD on dialysis receiving ifosfamide.
| Day 1 | Admit patient in the afternoon | | Forced diuresis: | | Furosemide 200 mg IVP over 1 hour | | Match urine output with D5 + 0.45%NS | | (if patient oliguric/anuric, furosemide, Mesna, and IV fluids are not needed) | | Ifosfamide 1-2 g/m2 + Mesna, starting ifosfamide at 4–6 PM | Day 2 | HD in the AM (10–12 hrs after chemotherapy) | | Repeat furosemide and IV fluids as above | | Ifosfamide + Mesna, starting ifosfamide at 4–6 PM |
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