Mucositis Care Pathway Template

Activity Action
AssessmentEvaluate oral mucous membranes at least once a day and document findings in the health record.
PreventionGood oral hygiene including brushing teeth at least twice a day in children 3 years of age and older.
Possible center decision: Dental assessment in all children at diagnosis.
Possible center decision: Standing order for mouthwash for hygiene for all patients ex. Sodium bicarbonate.
If patient is about to receive treatment considered high risk for oral mucositis, see Oral Mucositis Prevention.

Care tips:
Cryotherapy Instructions
TreatmentSee Pain Management Care Pathway.

Oral Mucositis prevention

Mucositis Flow Chart Image.jpg

Cryotherapy Instructions

  • To be administered during chemotherapy infusion of specific agents

  • Chemotherapy at high risk of mucositis with infusion times < 1 hour:

    • AALL1231 intensification 2 - ifosphamide and daunorubicin

    • ANHL1131 Group B and C COPADM - cyclophosphamide and doxorubicin

      Group C maintenance 1 - cyclophosphamide and doxorubicin

    • ACNS0333 induction - cyclophosphamide and etoposide

    • 5-fluorouracil

  • Can use either ice water or “Freezies”

  • Keep ice/Freezie in mouth continuously until infusion complete

  • Monitor young children for risk of choking