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Discussion

Mitomycin tx

When adminstering mitomycin intravesically to patients; I draw it up in a 60-cc syringe and then I have someone else assist to pour the solution into a catheter syringe after I catheterize the patient and allow it to gradually drain into the bladder; is there a better way to do this; safer and so that I didn't have to utilize another person to help? Anyone! With the BCG administration, there is a nice little bottle with adapters so that you don't have to mess with syringes; is there anything like that for mitomycin tx?

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I infuse Mito the same as I do BCG. We have the tubing with adapters for BCG, but I don't use it. I mix the mito with 40cc sterile water, then draw it up in a 60cc syringe (with a luer-lock tip). For both the mito and BCG, we insert 8Fr feeding tube, then the 60cc syringe twists into the catheter after the urine drains out. The solution is slowly pushed into the bladder. For me, it's very comfortable and quick

JoAnn

:rolleyes:

  • Author
I infuse Mito the same as I do BCG. We have the tubing with adapters for BCG, but I don't use it. I mix the mito with 40cc sterile water, then draw it up in a 60cc syringe (with a luer-lock tip). For both the mito and BCG, we insert 8Fr feeding tube, then the 60cc syringe twists into the catheter after the urine drains out. The solution is slowly pushed into the bladder. For me, it's very comfortable and quick

JoAnn

:rolleyes:

A feeding tube?????? Are you able to do this with one person....because I need someone to transfer the fluid from 60 cc syringe to the catheter syrine?

Yes, a feeding tube! Do you use these at all in your practice? If you don't, I could mail you one so that you could try it. It can definately be done with one person. I hold the catheter to prevent it from slipping out with my lateral hand/ 5th finger, then hold the end with my 1st and thumb; while screwing on the syringe with my other hand. It's harder to describe than to actually do it! :) Feel free to email me at [email protected] with your address.

JoAnn

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