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CSC Breast Capecitabine (21D1-14), Trastuzumab (21D1) VER 10-3-16 (HL 3074)

CSC Breast Capecitabine (21D1-14), Trastuzumab (21D1) VER 10-3-16 (HL 3074) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Beacon Protocols, Breast


CSC BREAST CAPECITABINE(21D:1-14)/TRASTUZUMAB(21D:1) VER: 10-3-16 – Properties
Pre-Cycle – 10/25/2016 through 10/31/2016 (7 days), Planned
Day 1, Pre-Cycle – Planned for 10/25/2016
Treatment Plan Information
Treatment Plan Summary
DISEASE: Breast Cancer (Advanced); THERAPY: trastuzumab 8mg/kg IV Day 1, capecitabine 1000 to 1250 mg/m2/dose by mouth
twice daily Day 1 through 14; CYCLE LENGTH: 21 days; COURSE: 1 cycle followed by THERAPY: trastuzumab 6mg/kg IV Day 1,
capecitabine 1000 to 1250 mg/m2/dose by mouth twice daily Day 1 through 14; CYCLE LENGTH: 21 days; COURSE: until disease
progression.
Consent
Verify Consent
Verify informed consent has been obtained.
Pre-Labs
CBC WITHOUT DIFFERENTIAL
Expected-S Approximate, Expires-S+365, Routine
ABSOLUTE NEUTROPHIL COUNT
Expected-S Approximate, Expires-S+365, Routine
CREATININE
Expected-S Approximate, Expires-S+365, Routine
BILIRUBIN, TOTAL
Expected-S Approximate, Expires-S+365, Routine
AST/SGOT
Expected-S Approximate, Expires-S+365, Routine
ALT/SGPT
Expected-S Approximate, Expires-S+365, Routine
Take Home Medications
ondansetron (ZOFRAN) 8 MG tab
Take 1 tab by mouth every 8 hours as needed for nausea/vomiting., 8 mg, Disp-30 tab, R-5, EVERY 8 HOURS PRN starting S,
Local Printer
Cycle 1 – 11/1/2016 through 11/21/2016 (21 days), Planned
Cycle 2 – 11/22/2016 through 12/12/2016 (21 days), Planned
Cycle 3 – 12/13/2016 through 1/2/2017 (21 days), Planned
Cycle 4 – 1/3/2017 through 1/23/2017 (21 days), Planned
Cycle 5 – 1/24/2017 through 2/13/2017 (21 days), Planned
Cycle 6 – 2/14/2017 through 3/6/2017 (21 days), Planned
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ZZtestonc,Andrew [2428787]
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Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 11/2016CCKM@uwhealth.org