Order Chemotherapy—Edit Dosing Based on a Preset Weight

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Click link for steps, for additional details

• 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

• Edit a chemo order

• Click the line for an order to highlight it and display its parameters in the section beneath the order list.

• Dose modifications

• AUC dose modifications

• Change the preset weight

1. Click the standard dose field.

2. Type the weight to be used in calculating dosing in either pounds (lbs) or kilograms (kg). Alternate units and the BSA are calculated automatically.

3. If required by the  regimen or protocol, the Frame Size options are active. Click to select one to indicate the patient's relative body frame size.

4. Click OK (ALT+ O ). The recalculated Total Dose is entered automatically.

• Adjust dosing of oral medications

• If needed, make limited changes to the scheduled day(s)

• If needed, prevent recalculation of dosing of chemotherapeutics at activation—based on adjustments made to the patient's weight, height, or creatinine

• Order desensitization

• Update administration instructions

• Write or Edit a prescription for an oral investigational chemo med

• Add a chemo exception order (MD only)

• Complete the session

• Add a memo as needed (which is saved as a General Care order)

• As needed, view order details, view or print a list of chemo and medication orders only, or make changes before signing.

• Sign the session

• Check the orders awaiting activation

• See also Overview of Chemo Order Entry .