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This document serves as a consent form for patients undergoing treatment with Radioactive Yttrium-90 Zevalin for Non-Hodgkin’s Lymphoma, detailing the procedure, risks, benefits, and alternatives.
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How to fill out consent for administration of
How to fill out Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma
01
Begin by downloading or obtaining the Consent form for Administration of Radioactive Yttrium-90 Zevalin Therapy.
02
Read the introduction section carefully to understand the purpose of the therapy.
03
Fill in your personal information such as name, date of birth, and contact details in the designated fields.
04
Review the information about the therapy, including potential risks and benefits, which should be outlined in the document.
05
Indicate whether you have discussed the therapy with your healthcare provider by checking the provided box or marking the appropriate section.
06
Write in any questions or concerns you may have about the therapy in the space provided.
07
Signature: Sign and date the form to indicate your consent for the treatment.
08
Make a copy of the signed consent for your records before submitting it to your healthcare provider.
Who needs Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
01
Patients diagnosed with Non-Hodgkin’s Lymphoma who are being considered for Radioactive Yttrium-90 Zevalin Therapy.
02
Individuals who consent to the administration of this specific therapy as part of their treatment plan.
03
Patients who have been informed by their healthcare provider about the therapy and its implications.
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People Also Ask about
When was Zetia approved by the FDA?
Approval Date: 10/25/02.
When was naltrexone and bupropion approved by the FDA?
In September 2014, a sustained release formulation of the drug was approved for marketing in the United States under the brand name Contrave. The combination was subsequently approved in the European Union in the spring of 2015, where it is sold under the name Mysimba.
What is the cost of Zevalin?
The cost for Y-90 Zevalin (3.2 mg/2 mL) intravenous kit is around $71,325 for a supply of 1 kits, depending on the pharmacy you visit.
When was Zevalin FDA approved?
Zevalin, the first conjugated antibody for the treatment of non-hodgkin's lymphoma (NHL) (and the first radioimmunotherapeutic for cancer) was approved by the US FDA on 19 February 2002 (approval is pending in the EEC). Zevalin (90Yttrium ibritumomab tiuxetan) has been in clinical trials since 1992.
What is the new FDA approved treatment for lymphoma?
On January 16, 2025, the Food and Drug Administration granted traditional approval to acalabrutinib (Calquence, AstraZeneca) with bendamustine and rituximab for adults with previously untreated mantle cell lymphoma (MCL) who are ineligible for autologous hematopoietic stem cell transplantation (HSCT).
Is radiation a treatment for non Hodgkin's lymphoma?
Radiation might be used to treat non-Hodgkin lymphoma (NHL) in some different situations: It can be used as the main treatment for some types of NHL if they are found early (stage I or II). For more advanced lymphomas and for some lymphomas that are more aggressive, radiation is sometimes used along with chemotherapy.
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What is Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy is a legal document that allows a patient diagnosed with Non-Hodgkin’s Lymphoma to undergo treatment with Yttrium-90 labeled Zevalin, which is a form of targeted radiation therapy used to treat this type of cancer.
Who is required to file Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
The patient diagnosed with Non-Hodgkin’s Lymphoma, or their legal guardian or representative, is required to file the consent form prior to receiving the Yttrium-90 Zevalin therapy.
How to fill out Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
To fill out the consent form, the patient or guardian should provide their personal information, understand the risks and benefits of the therapy, confirm that they have had an opportunity to ask questions, and sign the form to give consent for the treatment.
What is the purpose of Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
The purpose of the consent form is to ensure that the patient is fully informed about the Yttrium-90 Zevalin therapy, its potential side effects, and the expected outcomes, thereby allowing them to make an informed decision about their treatment.
What information must be reported on Consent for Administration of Radioactive Yttrium-90 Zevalin Therapy for Non-Hodgkin’s Lymphoma?
The consent form must report patient identifying details, the nature of the therapy, potential risks and benefits, alternative treatments available, and a signature indicating voluntary consent.
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