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DEPARTMENT OF MEDICAL ONCOLOGY CARBOPLATIN SCHEDULE (weekly) Thursday 28th june 2012 NAME: AGE: CYCLE: Op. No: Day 1: Inj. Decadron 8mg IV Bolus Inj. Palzen 0.25mg IV bolus Run 100ml NS check free flow INJ: Carboplatin ----------- mg IV in 500 ml 5% dextrose over 1 hour. DILUTIONS: No 1. Drug name Carboplatin Form Liquid form Dose in mg Dilution in ml Diluent 450 mg 45 ml ------------ 150 mg 15 ml ------------ 10 mg 1 ml ------------- Medical Oncologist Signature DISCHARGE ADVICE Thursday 28th june 2012 NAME: AGE: CYCLE: Op. No: Tab. Dexa 1-0-1 for 3 days (After food) Tab: Pantodac 40 mg 1-0-1for 3days (1/2 hour before food or ½ hour after food) Tab: domstal 1-1-1 for 3 days (before food) Tab: Larpose 1mg 0-0-1 for 3days (at bed time) Post Chemo Instructions: Check Total WBC weekly once. Report back when TC < 4000 Report back if there is Fever (or) Vomiting (or) Diarrhoea TC Checking on: Next chemotherapy after 1 week on: Dr. ARUNSESHACHALAM M.D., DNB, MNAMS, DM Mail-id: [email protected] Contact No: 96260-10005, 73 73 28 58 58 MEDICAL ONCOLOGY: PHARMACY – DRUGS: CARBO Thursday 28th june 2012 NAME: AGE: CYCLE: Name Drug conc Op. No: No Name: Drug conc No CHEMOTHERAPY INJ: CARBOPLATIN 450mg----------------------- 150mg-----------------------SUPPORTIVE MEDICINES Inj: Palzen .025mg-------------------------- 1 IV Set-----------------------------------------1 Gloves---------------61/2----------------------- 1 Mask------------------------------- 1 Inj: Dexa --------------8mg------------------- 1 18G Needle---------------------------------- 1 Blue canula------------------------------------1 5%Dex------------------------------------1 Easy fix ---------------------------------------- 1 Syring E--------------5ml-------------------- 2 5 ml sterile water--------------------------2 Syring E---------------10ml------------------- 2 100 ml NS------------------------------------- 1 Inj: Heplock -------------------------------2 Mask----------1 DISCHARGE ADVICE TAB. DEXA 8mg------------------------------6 TAB: DOMSTAL 10mg---------------------9 TAB: LARPOSE 1MG ---------------------3 TAB: PANTODAC 40 MG ----------------6 Dr. ARUNSESHACHALAM M.D., DNB, MNAMS, DM Mail-id: [email protected] Mobile No: 9626010005