SACT bloods

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SACT blood values

Please check individual Master prescription charts as some required blood levels may differ.

Please note that the table below may need to be scrolled horizontally or vertically in order to view all information, depending on your device.

Term Measurement
Haemoglobin Above 90
Platelets Above 100
White blood count Above 3
Neutrophils Above 1/1.5
Lymphocytes Below 25
Creatine Male 64-111
Creatinine Female 50-98
Urea Below 7
Bilirubin 3-21
Alt 10-50
Alk.Phos 40-125
Calcium 2.2-2.6
Albumin 36-47
Sodium 135-145
Magnesium 0.7-1
Phosphate 0.8-1.44
Potassium 3.6-5
TSH 0.2-5
Free t4 9-28
eGFR Greater than 60
Bicarb Above 20

Pre SACT bloods for haematology regimens

Please note that the table below may need to be scrolled horizontally or vertically in order to view all information, depending on your device.

Treatment cycle Bloods
Cycle 1 7 days prior
Cycle 2+ 72 hours prior

Exceptions to this rule are:

Regime Bloods and toxicity assessment
Intrathecal SACT 24 hours prior
Weekly SACT 24 hours prior
Cyclophosphamide harvest Within 7 days of treatment if it is at least 6 weeks since last SACT.
Maintenance rituximab (2 or 3 monthly) 7 days prior
Rituximab monotherapy (3 weekly) 96 hours prior
Weekly rituximab (4 dose course) 7 days prior. Only required for dose 1.
Weekly obinutuzumab 48 hours prior
Bisphosphonates for myeloma 7 days prior
Day 8 gemcitabine (GDP) Up to 72 hours pre-dose
Continuous oral SACT Within 14 days of next prescription
Pre transplant bloods Within 7 days of conditioning regimen
Clinical trials 96 hour bloods are accepted for SACT prescribing unless otherwise specified within the trial protocol.

Please also check MPCs.

Reference: Pre-SACT Bloods and Toxicity Assessment for Haematology Patients Attending Edinburgh Cancer Centre External website.

Pre SACT bloods for oncology regimens

Please note that the table below may need to be scrolled horizontally or vertically in order to view all information, depending on your device.

Regime Bloods
Continuous weekly regimens 48 hours prior
Accelerated EC and accelerated paclitaxel 48 hours prior
Cyclical regimes e.g., Day1,8,15 then week off or day 1 and day 8 then week off 24 hours prior
Adjuvant Zometa 7 days prior
Immunotherapies 96 hours prior
All other treatments 72 hours prior

NADIR bloods for ward 1

Regimes that need NADIR bloods

Tumour group Regimen Blood tests When
Colorectal Folfoxfiri FBC Day 7 (cycle 1 only)
Gynaecology All carboplatin containing regimens FBC, U&Es Weekly (cycle 1 only)

These are organised by:

On chemocare under patients documents print out and fill in ward 1 schedulers blood form and place in appropriate in-tray in the notes room.