DRAFT
Mucositis Care Pathway Template
Activity | Action |
---|---|
Assessment | Evaluate oral mucous membranes at least once a day and document findings in the health record. |
Prevention | Good 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 | |
Treatment | See Pain Management Care Pathway. |
Oral Mucositis prevention
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