Before each infusion, make sure you have all of the IV access supplies you will need, which may include:
(1) Primary infusion set with Y site positioned close to patient (use only an infusion set with an inline, sterile, nonpyrogenic, low protein-binding filter [pore size 0.22 micrometer or less])*
(1) 100-mL IV bag of 0.9% or 0.45% Sodium Chloride Injection, USP
(1) Safety IV catheter: 22- or 24-gauge x 1" maximum length
(1) Antiseptic swab
Gauze
Medical tape
As needed: tourniquet (nonlatex), gloves
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Vital signs
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Weight
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Any changes in medical history
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Any changes in medication history
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Allergies, especially to medications
IMPORTANT: This assessment must be performed before every infusion.
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Serious infections
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Malignancies
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Hepatitis B reactivation
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Heart failure
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Demyelinating disorders
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Autoimmunity
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Use with other drugs
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Hematologic cytopenias
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Vaccinations/therapeutic infectious agents
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Hypersensitivity reactions
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Adverse reactions
ONLINE DOSING CALCULATOR
VIEW
STEP 1: Calculate the dosage and number of vials needed based on the recommended dosage of 2 mg/kg and the patient’s weight. Each 4-mL vial of SIMPONI ARIA® (golimumab) contains 50 mg of golimumab.
STEP 2: Check the solution in each vial. The liquid should be colorless to light yellow. The solution may develop a few fine translucent particles, as golimumab is a protein.
Do not use if opaque particles, discoloration, or other foreign particles are present.
STEP 3: Prepare the solution for infusion:
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Prior to administration, dilute the total volume of the SIMPONI ARIA® solution with 0.9% Sodium Chloride Injection, USP to a final volume of 100 mL
—For example, this can be accomplished by withdrawing a volume of the 0.9% Sodium Chloride Injection, USP from the 100-mL infusion bag or bottle equal to the total volume of SIMPONI ARIA®
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Slowly add the total volume of SIMPONI ARIA® solution to the 100-mL infusion bag or bottle
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Gently mix
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Discard any unused solution remaining in the vials
STEP 4: Visually inspect the diluted SIMPONI ARIA® solution. If particulate matter or discoloration exists, DO NOT USE.
STEP 5: Use only an infusion set with an inline, sterile, nonpyrogenic, low protein-binding filter (pore size 0.22 micrometer or less).
IMPORTANT: Do not infuse SIMPONI ARIA® concomitantly in the same intravenous line with other agents.
STEP 6: Infuse the diluted solution over 30 minutes.
IMPORTANT: Once diluted, the infusion solution can be stored for 4 hours at room temperature.