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CSC GYN Bevacizumab(21D:1) Paclitaxel(21D:1) VER 1-11-17 (HL 3162)

CSC GYN Bevacizumab(21D:1) Paclitaxel(21D:1) VER 1-11-17 (HL 3162) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Beacon Protocols, GYN


CSC GYN BEVACIZUMAB(21D:1)/PACLITAXEL(21D:1) VER: 1-11-17 – Properties
Pre-Cycle – 5/30/2017 through 6/5/2017 (7 days), Planned
Day 1, Pre-Cycle – Planned for 5/30/2017
Treatment Plan Information
Treatment Plan Summary
DISEASE: Ovarian, Fallopian Tube, Primary Peritoneal Cancer (Advanced); THERAPY: bevacizumab 15 mg/kg IV Day 1;
PACLItaxel 150 to 175 mg/m2 IV Day 1; CYCLE LENGTH: 21 days; COURSE: 6 cycles
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
ELECTROLYTES
Expected-S Approximate, Expires-S+365, Routine
MAGNESIUM
Expected-S Approximate, Expires-S+365, Routine
CREATININE
Expected-S Approximate, Expires-S+365, Routine
BILIRUBIN, TOTAL
Expected-S Approximate, Expires-S+365, Routine
URINALYSIS WITH MICROSCOPY
Expected-S Approximate, Expires-S+365, Routine
CA 125
Expected-S Approximate, Expires-S+365, Routine
For ovarian, fallopian tube, and primary peritoneal cancer.
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
dexamethasone (DECADRON) 4 MG tab
Take 5 tabs 12&6 hrs prior to 1st PACLItaxel dose, 3 tabs 12&6 hrs prior to 2nd dose, 2 tabs 12&6 hrs prior to 3rd dose, Disp-20
tab, R-0, starting S
Cycle 1 – 6/6/2017 through 6/26/2017 (21 days), Planned
Cycle 2 – 6/27/2017 through 7/17/2017 (21 days), Planned
Cycle 3 – 7/18/2017 through 8/7/2017 (21 days), Planned
Cycle 4 – 8/8/2017 through 8/28/2017 (21 days), Planned
Cycle 5 – 8/29/2017 through 9/18/2017 (21 days), Planned
Cycle 6 – 9/19/2017 through 10/9/2017 (21 days), Planned
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Zztestonc,Edward E [2435061]
6/6/2017 5:57:24 PM Page 1 of 1
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2017CCKM@uwhealth.org