Order Chemotherapy—Modify Chemo Doses

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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

1. Click either Dose field as appropriate to the dosing you want to change.

2. If defined for the selected medication, dose changes and reasons are presented in a list box. Click a line in the Choose Dose Modification list to select it.

• Dose modifications defined as percentages or changes by a specified amount are calculated automatically. The modification description includes what dose the calculation is based on—either the amount of the original standard dose for the regimen or protocol, or the previous dose order.

• For a protocol order, if Dose Modifications are not defined, changes to the dosing are not allowed.

3. If dose modifications for a regimen are not presented, type the amount for the dose you want. The new dose cannot be greater than the standard.

4. The pharmacy does not accept zero (0) doses. If you enter 0 or choose a modification that results in a zero dose, click OK (ALT+ O ) to acknowledge the message. Choose a different dose, or omit the order entirely.

5. If a reason for the dose modification is not defined, type your reason when prompted.

6. Click OK (ALT+ O ).

• AUC dose modifications

• Change the preset weight

• 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 .