1. Gemcitabine+ Cisplatin (GC-G)GCG Gemcitabine+ Carboplatin (GCar-G)GCarG Nalvelbine+ Cisplatin (NC-N)NCN Nalvelbine+ Carboplatin (NCar-N)NCarN Oral Navelbine+ Cisplatin (Oral N +C)Oral N +C Paclitaxel ( WeeklyTaC)WeeklyTaC Docetaxel (TC, Q3W)TC, Q3W Docetaxel (Weekly T alone)Weekly T alone Alimta Iressa 250 mg, QD. Tarceva 150 mg, QD (self pay) 台北榮總肺癌化療組套

2. GC 1.Check Body Weight 2.1/2 NS 1200 ml ivd 4-6 hours for hydration 3.Lasix 20 mg iv at the last 200 ml 1/2 S of hydration 4.□ Decadron 10 mg or □ Rinderon 8mg IV at 30 min before chemotherapy 5.□ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; ivd st at 15 min before C/T 6.Gemcitabine mg (1000-1250 mg/m2) in 1/2 S 50 ml can ivd for 30 mins 7.(step 3-5 are given before end of hydration) 8.Full run 1/2 S 100 ml st. 9.Cisplatin mg (60-75mg/m2) in NS 500 ml ivd for 1 hour 10.Novamin 0.7 amp iv after C/T 11.1/2 S 700ml ivd 12.Take BP & PR qid during C/T 13.Check BW after C/T, if BW 1.5 kg greater than the BW when admission, Lasix 20mg iv st ( Total iv volume: 1/2NS: 2000ml, NS: 500ml.)

3. G 1.NS 500 ml IV keep line for chemotherapy 2.□ Decadron 10 mg IV or Rinderon 8 mg at 30 min before chemotherapy 3.□ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T 4.or ( 自費 ) □ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; st IVD at 15min before C/T 5.Gemcitabine mg (1000-1250mg/m2) in N/S 50ml iv for 30 mins 6.Run out the remaining N/S.

4. GCar 1.Record BW 2.NS 300 ml IV keep line for chemotherapy 3.□ Decadron 10 mg or □ Rinderon 8mg IV at 30 min before chemotherapy 4.□ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T 5.or ( 自費 ) □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; st IVD at 15min before C/T 6.Gemcitabine mg (1000-1250mg/m2) in N/S 50 ml IV for 30 min st 7.Carboplatin mg 【 dose=AUC X (GFR+25) 】 in NS 300 ml ivd for one hour 8.NS 200 ml ivd st ( Total iv volume: NS: 1000ml)

5. NC 1.Check Body Weight 2.1/2 NS 1200 ml ivd 4-6 hours for hydration 3.Lasix 20 mg iv at the last 200 ml 1/2 S of hydration 4.□ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy 5.□ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; ivd st at 15 min before C/T 6.Navelbine mg (25-30 mg/m2) in 1/2 S 50 ml can ivd for 30 mins 7.(step 3-5 are given before end of hydration) 8.Full run 1/2 S 100 ml st. 9.Cisplatin mg (60-75mg/m2) in NS 500 ml ivd for 1 hour 10.Novamin 0.7 amp iv after C/T 11.1/2 S 700ml ivd 12.Take BP & PR qid during C/T 13.Check BW after C/T, if BW 1.5 kg greater than the BW when admission, Lasix 20mg iv st ( Total iv volume: 1/2NS: 2000ml, NS: 500ml.)

6. N 1.NS 500 ml IV keep line for chemotherapy 2.□ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy 3.□ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T 4.or ( 自費 ) □ Kytril 3 mg or □ Navoban 5 mg or □ Zofran 16 mg; st IVD at 15min before C/T 5.Navelbine mg (25-30 mg/m2) in N/S 50ml iv for 30 mins 6.Run out the remaining N/S.

7. NCar 1.NS 300 ml IV keep line for chemotherapy 2.□ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy 3.□ Primperam 2 Amp IV + Akineton 1# + Ativan 0.5mg 1# at 15 min before C/T 4. 或 ( 自費 ) □Navoban 5 mg; □ Kytril 3 mg; □ Zofran 8 mg; st IVD at 15min before C/T 5.Navelbine mg (25~30mg/m2) in NS 50ml IVA for 8 min st 6.Carboplatin mg 【 dose=AUC X (Ccr +25) 】 in NS 300 ml 7.IVA for one hour 8.NS 200 ml IVD st 9.Heparin 1 amp for port-A. 10.Gastro-Timelets 1#/Tid ( 出院帶回藥 ) (Total IV volume: NS: 1000ml.) *Estimated Ccr= (140 - age)(body weight in kg) *0.85( if female ) 72 x serum creatinine in mg/dL

8. Oral N ( Oral dose= IV dose x 2.5 ) 1.Navelbine(oral): mg(30mg #,20mg #)

9. Oral N+C 1.Navelbine(oral): mg(30mg #,20mg #) 2.NS 1000ml IVD 3.□ Decardron 10 mg or □ Rinderon 8mg IVD x 10 min 4.□ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; ivd st at 15 min before C/T 5.Lasix 20 mg in the least 200 ml NS IVD x 20 min 6.NS 500 ml IVD 7.Cisplatin mg (60-75 mg/m2) IVD for 1 hour 8.Novamin 0.7 amp IM after C/T 9.Gastro-Timeletes 1# tomorrow morning. (total IV fluid: NS: 1500ml)

10. Weekly TaC 1.1/2NS 500 ml IV keep line for chemotherapy 2.□ Decadron 10 mg or □ Rinderon 8mgIV 15 min at 30 min before chemotherapy 3.Allermin 1 amp IVD 15 min at 30 min before C/T 4.Zantac 1 amp IVD 20 min before C/T 5.Kytril 3mg in 30 ml NS IVD x 10 min 6.□Anzatax□Taxol□Fomoxol mg (6 0-80 mg/m2) in D5W 250 ml glass bottle iv with 0.22 um microfilter and NTG tube for 1 hour. 7.Cisplatin mg (20-25mg/m2) in 500ml 1/2 S iv for 1 hour 8.Novamin 0.7 amp IM after C/T 9.Gastro-Timelets 1# tomorrow morning 10.Take vital sign q6h during chemotherapy Total IV H/S 1000cc, D5W250cc

11. Taxotere+Cisplatin, Q3W 1.Half saline 1000 ml IVD 4-6 hours for hydration. 2.Lasix 20 mg IV at the last 200 ml half saline of hydration. 3.□ Decadron 10 mg or □ Rinderon 8 mg IVD at 30 min before chemotherapy. 4.Kytril 3 mg IVD for 5-10 min at 15 min before chemotherapy. 5.Taxotere (60 mg/m2) in N/S 250 ml IVD for 1 hours st. (STEP 3-5 are given before end of hydration) 6. Full run half saline 100 ml st. 7. Cisplatin (60 mg/ m2) in N/S 500 ml IVD for 1 hours. 8. Half saline 500 ml IVD 9.Novamin 0.7 amp(3.5mg) IM st. 10.Take BP & PR qid during C/T 11.Lasix 20 mg IV if I>O more than 1500 ml or body weight increased 1 kg. 12.Gastro-T one cap next morning

12. Weekly Taxotere alone, Q3W 1.NS 500 ml IV keep line for chemotherapy 2.□ Decadron 10 mg or □ Rinderon 8 mg IV at 30 min before chemotherapy 3.□ Primperan 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before chemotherapy 4.( 自費 ) □Navoban 5 mg; □ Kytril 3 mg; □Zofran 8 mg; st IVD at 15min before C/T 5.Taxotere mg (20, 30, 33mg/m2) IV drip for 1 hour 6.Run out the remaining NS 7.Decadron 8mg P.O. Bid next day ( 自備、不入電腦 )

13. Alimta, Q3W 1.NS 500 ml IV keep line for chemotherapy 2.Decadron 10 mg IV at 30 min before chemotherapy 3.□ Primperam 2 amp IV + Akineton 1# + Ativan 0.5 mg 1# at 15 min before C/T 4.or ( 自費 ) □ Kytril 3 mg; □ Navoban 5 mg; □ Zofran 16 mg; st IVD at 15min before C/T 5.Alimta mg (500mg/m2) in N/S 100ml ivd for 10 min st 6.run out the remaining NS for 30 min