W.H.O. classification |
augustus 2005 |
| Grade | Performance Status |
| 0 | Able to carry out all normal activity without restriction. |
| 1 | Restricted in physically strenuous activity but ambulatory and able to carry out light work. |
| 2 | Ambulatory and capable of all self-care but unable to carry out any work; up and about more than 50% of waking hours. |
| 3 | Capable of only limited self-care; confined to bed or chair more than 50% of waking hours. |
| 4 | Completely disabled; cannot carry on any selfcare; totally confined to bed or chair. |
W.H.O. grading for toxicity
|
grade 0 |
grade 1 |
grade 2 |
grade 3 |
grade 4 |
| Gastro-intestinal | |||||
| Biliribun ASAT/ALAT Alkaline phosphat |
<= 1.25 x N* |
1.26-2.5 x N |
2.6-5 x N |
5.1-10 x N | > 10 x N |
| Oral | None | Soreness/ery- thema |
Erythema, ulcers, can eat solids |
Ulcers, req liquid diet only | Alimentation not possible |
| Nausea/Vomiting | None | Naussea | Transient vomiting |
Vomiting req therapy | Intractable vomiting |
| Diarrhea | None | Transient <2 days | Tolerable > 2 days |
Intolerable req. therapy | Hemorrhagic dehydration |
| Renal, bladder | |||||
| BUN or blood urea
Creatinine |
<= 1.25 x N | 1.26-2.5 x N | 2.6 - 5 x N | 5.1 -10 x N | > 10 x N |
| Cutaneous | None | Erythema | Dry desquam- ation, ves- iculation prunitus |
Moist desquamation ulceration | Exfoliative dermatitis, necrosis req. surgery |
| Hair | None | Minimal Loss | Moderat, patchy alopecia |
Complete alopecia but reversible |
Non-reversible alopecia |
| Cardiac | |||||
| Function | None | Asymptomatic but abnormal cardiac sign |
Transient symptomatic dysfunction no therapy required | Symptomatic dysfunction responsive to therapy | Symptomatic dysfunction
nonresponsive to therapy |
| Neurotoxicity | |||||
| Peripheral | None | Paresthesias and/or decreases tendon reflex |
Severe paraesthesias and/or mild weakness | Intolerable paresthesias and or marked motor loss | Paralysis |
| * N = Upper limit of normal | |||||
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© VU medisch centrum - afdeling hematologie 16/08/05 |