I have a *Ototoxicity Protocol* I use in my office and any hospital with
which we're affiliated. I don't recall the source for the decision
making process but we've had it for several years....
1- pre administration of med baseline..
pure tone through 8K; speech audiometry
impedance to ID any potentiating factors
2- advise MD if any data abnormal (possibly change protocol)
3- monitoring visits..at least pure tones
4- any change of 10dB at 2 or more freq or 20 at 1 freq demands
5- any changes brought to attention of MD (immediately)
6- intervals for monitoring depend on meds -
3 days/weekly/accompanying each dose
3 & 6 months after treatment terminates
Joseph Danto, Ph.D.,
201 567 8408 (v)
201 567 7551 (facs)