Subsequent Infusions of Infliximab
A 68-year-old female established patient diagnosed with rheumatoid arthritis returns to the office for her third infliximab infusion. She still has pain, stiffness, and swelling in her elbows, wrists, and most finger joints. She denies having had any fevers, cough, dyspnea, or concurrent illness. The patient is on a nonsteroidal antiinflammatory drug, weekly methotrexate subcutaneous injections, folic acid, and ranitidine. No changes were made to the patient’s medications.
She was administered 50 mg of diphenhydramine as a prophylactic measure against a drug reaction to the infliximab. Her IV port started at 10:00 AM. The infusion of 200 mg of infliximab started at 10:15 AM and was completed at 12:25 PM.
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