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Golimumab () REVISED: March 2015 Date written To begin Patients: Height cm Weight kg BSA m2 Allergies: No Yes: Diagnosis Metastatic Site 1. Laboratory Studies: CBC, DIFF, PLT, T. Bill, CMP, Magnesium,
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How to fill out ipilimumab - Penn State:

01
Start by carefully reading the instructions provided with the medication. It is important to have a clear understanding of the dosage, frequency, and any special instructions.
02
Gather all the necessary supplies, including the ipilimumab medication, syringe or infusion bag, alcohol swabs, and any additional items mentioned in the instructions.
03
Wash your hands thoroughly with soap and water to maintain a clean and hygienic environment.
04
If the ipilimumab is in a vial, use the alcohol swab to clean the rubber top of the vial before opening. If it is in a pre-filled syringe or infusion bag, ensure that the packaging is intact and unopened.
05
Follow the instructions to draw the correct dosage of ipilimumab into the syringe or connect the infusion bag as directed. Take care to accurately measure the prescribed amount.
06
If self-administering, choose an injection site that has been approved by your healthcare professional. Clean the chosen area with an alcohol swab and allow it to dry.
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Carefully administer the ipilimumab according to the provided instructions. If unsure, seek guidance from a healthcare professional or pharmacist.
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After administering the medication, carefully dispose of any used needles or syringes in an appropriate sharps container or follow the instructions provided for safe disposal.
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Keep a record of each ipilimumab dose administered, noting the date, time, dosage, and any observations or side effects experienced. This information can be helpful for your healthcare team.
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Remember to schedule follow-up appointments with your healthcare professional as recommended to monitor your progress and discuss any concerns or questions.

Who needs ipilimumab - Penn State:

01
Patients diagnosed with advanced melanoma: Ipilimumab is primarily used in the treatment of advanced melanoma, a type of skin cancer.
02
Patients who have undergone prior treatments: Ipilimumab may be prescribed to patients who have not had success with other treatment options or for whom other treatments are not suitable.
03
Patients with specific genetic markers: Certain genetic markers or mutations in melanoma tumors may make a patient more likely to benefit from ipilimumab treatment. Genetic testing can help identify those who may be suitable candidates.
04
Patients who have not received previous immunotherapy: Ipilimumab is a type of immunotherapy, which stimulates the immune system to fight cancer cells. Patients who have not received prior immunotherapy may be considered for ipilimumab treatment.
05
Patients whose healthcare professional has recommended it: Ultimately, the decision of whether to prescribe ipilimumab is made by a healthcare professional based on several factors, including the individual's medical history, overall health, and response to other treatments. It is important to consult with a healthcare professional to determine if ipilimumab is appropriate for you.
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Ipilimumab is a medication used for the treatment of cancer, particularly melanoma.
Healthcare providers or institutions administering ipilimumab are required to report to Penn State.
Providers can fill out the ipilimumab report online or submit it through the designated channels provided by Penn State.
The purpose of reporting ipilimumab to Penn State is to track and monitor the use and outcomes of the medication for research and compliance purposes.
Information such as patient demographics, treatment details, adverse reactions, and outcomes must be reported on the ipilimumab form for Penn State.
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