Enter or Review the Patient's GFR

The dosing for a selected chemo medication from this regimen or protocol is calculated by pre-defined rules that utilize the patient's GFR (glomerular filtration rate). The order may have been pre-selected as required by the treatment, or selected manually.  

• Ordering providers must enter the results to order the medication.

• Activating nurses must review the results to complete the activation.

• RN review at activation: Review the results, then click OK (ALT+O). If you changed the weight or creatinine at activation, the dosing rules may trigger a change in the calculation used to determine the dose. If this happens, the message appears stating  that the pediatric AUC rule used to calculate the original dose has changed. Approval is required. Click OK (ALT+O) to acknowledge the message.

• Ordering providers only:

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).

• See also:

• Ordering Chemotherapy

• Activating Inpatient Orders Containing Chemotherapy Agents

• Activating Pending Ambulatory Orders