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Calvert Formula Worksheet
Calvert Formula Worksheet
= GFR
Chemo Combo
no combination
Previous Treatment
no
4 to 6
no combination
yes
4 to 6
no
You Need:
Patient age = _______
Patient Weight In Kg* = ________
* Measured Weight in pounds = _________ Divided by Wt in kg = _______ Kg
Male or Female? _______
Serum Creatinine = _________
AUC (ordered by MD) = _________
{140 - (pt age)} X (wt in kg) (X 0 .85 if female) = ___________(GFR)
72 X ________ (serum creatinine)
{_____(GFR) + 25} X ______(AUC) = ________ mg (dose ordered)
Nurse giving chemo: ___________________________________________
Nurse checking chemo: _________________________________________
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