Order Chemotherapy—Edit AUC Dosing

• Show all steps

• Show all details

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

1. Click the standard dose field.

Modification of Pedi AUC dosing is not allowed.

2. If correction is needed, type the patient's serum creatinine concentration, then press TAB. 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. If dose modifications are not presented, type the target AUC for the dose you want.

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

5. Click OK (ALT+ O ).

The AUC Dose is calculated automatically when you move to the next entry.

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 recalculated Total Dose is entered automatically.

• 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 .