Order Chemotherapy—Set Up Pediatric Calvert Dosing

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• Select the patient

• Start the chemo order session

• Set up the treatment—Regimen/protocol, diagnosis, numbering, day 1/day 0, patient height and weight

• Confirm treatment setup

• Reusing previous order parameters

• Open the chemo player

• Check information on the actual treatment administered previously —access the LMR Oncology Infusion Flowsheet

• Non-chemo orders—select, edit, add

• Chemo orders—select

• Click Next (ALT+N) to open the Chemotherapy folder and display the orders in the grid to the right.

• Results for relevant laboratory tests are displayed in a grid above the order list. 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.

• Set up AUC dosing if prompted

• Set up pediatric AUC rule-driven dosing if prompted

1. Click to select the method for determining the GFR:

• Calculate GFR  using available laboratory results for creatinine concentration in plasma  and a timed, measured volume urine collection

• GFR from another source, reported as creatinine clearance

2. Type the results:

• For Calculate GFR: Type results for the patient's urine creatinine in mg/ml, the total volume of the urine collection  in ml, plasma creatinine  in mg/dl, and the number of hours the urine was collected. Press TAB to move through the fields quickly. The calculations for the raw GFR and GFR corrected for BSA are performed as you type, and displayed automatically.

• For GFR from another source:

1. Type the result for the creatinine clearance.

2. Click the option to indicate the formula used, raw or corrected for BSA.

3. Type the source of the creatinine clearance result, foe example CDR (clinical data repository).

3. Review the results, then click OK (ALT+O).

• Set up weight for dosing if prompted

• If any of the orders is PO, a message reminding you to use dose options appears. Click OK (ALT+ O ).

• Select orders from the chemo set

• Undo order selections in the chemo set

• Edit a chemo order

• Add a chemo exception order (MD only)

• Complete and review the session

• Sign the session

• Check the orders awaiting activation

• See also Overview of Chemo Order Entry .