Set Up AUC Dosing

Exception orders and modifications of Pedi AUC dosing are not allowed.

1. If you haven't already, click the standard dose field.

2. Type the patient's serum creatinine concentration, then press TAB.

• The patient's serum creatinine is displayed if available. If no results are displayed, check the Results viewer by clicking Results in the CAS toolbar on the left—see Checking Last Known Values for Lab Results

• The creatinine clearance result is calculated automatically based on the CrCl equation required by the treatment.

3. For exception orders, type the target AUC. To modify a target AUC preset by the regimen or protocol:

1. Click AUC Modifications (ALT+ M ).

2. Click to select a modification option.

3. Click OK (ALT+ O ). The AUC Dose is calculated automatically when you move to the next entry.

If you need a target AUC that isn’t listed as a modification option, it must be reviewed and authorized. You must omit the original chemo medication from the orders, and write the order with the dosing you need as an exception.

See also:

• Omitting Chemo Meds: Ordering Chemotherapy > Chemo Orders—Select > Omit order selections in the chemo set

• Writing Chemo Exception Orders: Ordering Chemotherapy > Add a chemo exception order (MD only)

4. If allowed by the treatment, click one of the two recalculation options.

• Recalculated dosing is based on the creatinine value entered when these orders are activated. If the resulting dose differs by more than five percent (5%) from the original the orders must be approved by an attending oncologist or pediatric oncology NP or PA . Dosing changes triggered by NP/PA activation must be approved by an attending.

• If you choose not to allow recalculation, type a reason for doing so.

5. Click OK (ALT+ O). The calculated Total Dose is entered automatically.

• See also:

• Ordering Chemotherapy

• Changing Active Chemotherapy Orders

• Writing Exception Orders for Chemotherapy

• Overview of Chemo Order Entry