Policies and procedures

Consults, protocols, and therapeutic interchanges

System_RXCLIN 138 Pharmacy Procedure for Thymoglobulin

Key points:

• Pharmacist must verify the following:
  • Indication
  • WBC and platelet count
  • Central line access
  • Whether premedications and/or rescue medications have been ordered
• Thymoglobulin must be infused through a 0.22-micron filter into a central line
• Thymoglobulin expires after 24 hours
• Pharmacist must contact nurse to determine appropriate administration time
  • If normal business hours, contact transplant pharmacist
• Pharmacist must call SPA pharmacist (1-2759) and let them know when medication should be prepared and sent to floor
• Dose will be automatically be rounded to the nearest 25 mg per policy
• For all doses being administered in the operating room, the operating room nurse will contact the operating room pharmacist (1-0670) to coordinate preparation and delivery
• For all doses NOT being administered in the operating room, the clinical pharmacist must call the SPA pharmacist (1-4306) to coordinate preparation and delivery

Additional information

• Micromedex
• UpToDate
• Lexicomp