2.2.3 Children Eligible for Supportive Care in a POGO Satellite Clinic

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Any pediatric oncology patient, whether or not they are eligible to receive chemotherapy in a POGO Satellite Clinic, is eligible for supportive care in the POGO Satellite Program. Thus, all patients are eligible to receive the following supportive care in a POGO Satellite Clinic:

1. Management and adjustment of supportive care drugs: Anti-convulsants, electrolyte supplements, antiemetics, analgesia
2. Administration of blood products¹ (including packed red blood cells, platelets, Immune Globulin IV/SQ):
   1. Assuming the availability of irradiated blood products where such are indicated.
   1. Under emergency circumstances, any blood products may be administered.

Note: With regard to the irradiation of blood products, POGO Satellite Clinic irradiation practices should mimic those of the referring specialized childhood cancer program.

• Varicella-Zoster Immune Globulin (VariZig) (see Sub-Section 4.4 Treatment of Varicella Infections)
• Growth factors (e.g., G-CSF)
• Antiviral therapy (Acyclovir):
  • With suitable renal and electrolyte monitoring and/or on an in- or outpatient basis.
• Gastrostomy management
• Intravenous or inhaled pentamidine
• Total parenteral nutrition (TPN) support:
  • Where appropriate expertise exists. Institutional pediatric TPN guidelines should be in place.
• Palliative care in conjunction with specialized childhood cancer program and local palliative care resources.

Notes

1. With regard to the irradiation of blood products, POGO Satellite Clinic irradiation practice should mimic those of the referring specialized childhood cancer program.
2. With regard to the care of patients with fever and neutropenia, the need for nutritional support will have to be assessed and, if necessary, either instituted in the POGO Satellite Clinic or referred back to the specialized childhood cancer program. Patients on antifungal therapy (renal and electrolyte monitoring, as either in- or outpatient), whose TPN needs cannot be addressed in the POGO Satellite Clinic, should be transferred to the specialized childhood cancer program.

Disclaimer: Source Accuracy

You are welcome to download and save a local copy of this document in the Word and/or PDF formats provided. As the POGO Satellite Manual is subject to ongoing revisions and updates by POGO, we recommend you regularly check the online version posted at https://www.pogo.ca/satellite-manual/ to ensure you have the most up-to-date content. In the event of any inconsistency between the content of a local copy and the online version of the POGO Satellite Manual, the content of the online version shall be considered correct. Please see also the POGO Satellite Manual Disclaimer.

Record of Updates

Version Number	Date of Effect	Summary of Revisions
1	8/19/2022	Original version posted.