All ONS Member Community

Expand all | Collapse all


  • 1.  Cetuximab

    Posted 09-06-2019 06:41
    Just curious if other facilities monitor post infusion of Cetuximab even if the patient has not ever had a reaction to it. The protocol where I work is to monitor for one hour post infusion.

    Sent from my iPhone

  • 2.  RE: Cetuximab

    Posted 09-07-2019 12:36
    The package insert states patients should be observed 1 hour post infusion.  That being said, one clinic I worked with we did monitor post infusion but often they'd need 2g of magnesium as well so it worked out well.

    Another clinic I worked at did not monitor at all.  So I suspect it's up to institutional policy or call of provider.

    Amber Whitton-Smith RN MSN FNP-C OCN
    Nurse Practitioner
    Centura Health
    Littleton CO

  • 3.  RE: Cetuximab

    Posted 09-07-2019 13:42
    Hi, we keep our patients 1 hour post after each Erbitux infusion even if they have had no reaction to it.

  • 4.  RE: Cetuximab

    Posted 09-08-2019 07:12
    We don't keep any of our chemo pt longer than ten min post infusion. However on another note,the worst reaction I have seen in my fifteen years in onc clinic was on a cetuximab infusion. Total resp arrest within approx fifteen sec of starting infusion. P.S.He made it back...

    Tammy Litrico RN
    Asheville NC

  • 5.  RE: Cetuximab

    Posted 09-10-2019 12:44
    Very similar situation happen to me, reaction occurs seconds after the medication started infusion.  At my current facility we don't monitor an hour after, but having seen previous reaction to this medication, I run my flush bag for at least 30 mins. ​

    Carolyn Hicks
    Benton AR