Table 3.
Patient | Age (years) | IRR at 1st standard infusion | Rapid infusion premedication | IRRs at rapid infusion | Outcome |
---|---|---|---|---|---|
1 | 64 | Yes | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg, montelukast 10 mg | Erythema, dyspnea without desaturation | Rapid infusions discontinued |
2 | 70 | No | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg | Dyspnea with mild desaturation (sO2 91%), nasal congestion, throat irritation | Rapid infusions discontinued |
3 | 79 | No | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg | Dyspnea with mild desaturation (sO2 89%), nasal congestion, throat irritation | Rapid infusions discontinued |
4 | 71 | No | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg, montelukast 10 mg | Dyspnea, severe desaturation (sO2 70%), hypertension, tachycardia | Daratumumab permanently discontinued |
5 | 68 | Yes | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg | Headache, chest oppression with normal ECG parameters | Rapid infusions discontinued |
6 | 65 | No | Chlorpheniramine 10 mg, acetaminophen 1000 mg, dexamethasone 20 mg | Delayed (2 hours after the end of the infusion) nausea, vomiting and fatigue | Rapid infusions discontinued |
7 | 64 | Yes | Ranitidine 300 mg, chlorpheniramine 10 mg, methylprednisolone 60 mg, acetaminophen 1000 mg | Nausea and vomiting during the infusion | Rapid infusions continued |
IRRs, infusion-related reactions; ECG, electrocardiogram.