<< Click to Display Table of Contents >> Navigation:  Order Entry: Search & Selection > Departments > Pharmacy Non-IV > Non-IV Dose Calculation

The Dose Calculator option provides the ability to calculate an administer dose and amount for Non-IV medications. If the patient height and weight have not been recorded, selecting the Dose Calculator option from the action bar will launch the Vitals application screen for the patient weight to be entered. Once the weight is entered and saved, the Dose Calculator screen will open and the weight will display in the ID Panel.

 

 

Select Order Entry > select Medication

 

Non-IV Medication Order Edit

 

 

Once the Dose Calculator screen has been accessed, the following will display:

 

The Action Bar options:

 

•The Back Arrow will return to the previous edit screen without saving any changes. If changes were made, selecting the Back Arrow will initiate the prompt "Exit without saving Data?" and the options will be Yes, No, or Cancel.

 

•The Update option will save and accept the calculated Administer Dose and Administer Amount.

 

•The Clear option will remove all entered and calculated data from the Dose Calculator screen.

 

•The Dose Information option will launch the MicroMedex drug information page.

 

 

Select Order Entry > select Medication > Dose Calculator

 

Dose Calculator

 

 

Dose Calculator Screen:

 

•The medication Long Description from the item master will display.

 

•The Dose field will be blank and the cursor will default to this field. Once a Dose is indicated, the administered dose and amount will automatically calculate.

 

•The Unit drop-down field has 2 options:

oThe mg/kg/DOSE option will default for all X1 (one-time) or PRN (as needed) medications.

oThe mg/kg/day option will default for all other frequencies.

 

•The Frequency field will default to the pre-defined frequency on the item. Other selection options include the following:

oThe drop-down may be selected to select another Acceptable Frequency pre-defined on the item.

oThe magnifying glass icon may be selected to open the frequency table.

oIf the medication was selected from an Order Set or Order List, the frequency will default to the Order Set/List frequency.

oIf a frequency is changed from a scheduled time to  X1 or PRN, the dose field will turn blank and the units will change to mg/kg/DOSE.

 

•The Concentration field will display the Strength/Unit and Name of the medication provided by Truven. This will be based upon the NDC number on page 1 of Pharmacy Information. This field is display only and may not be edited.

 

•The Rounding Option drop-down is sticky per user, but provides 3 options:

oWhole Number (x) is the default option.

o1 decimal (x.x)

o2 decimals (x.xx)

 

•The Administer Dose field will display the calculated Dosage/Unit of the medication based upon the Dose entered, selected Unit option, and the patient's weight in kilograms. This field is display only and may not be edited.

 

•The Override Administer Dose field defaults to blank and may be edited to enter a different dose from the calculated Administer Dose field above. The dose value may be entered in MG with the format xxxxx.xxxx in numeric characters.

 

•The Formulas area will display the current formula that is being used to calculate the dose. The Formula box will change based on the selected units from the drop-down.

 

If the units selected are mg/kg/day:

 

                                                 Dose(mg/kg/day) x Weight (kg)

           Administer Dose (MG) = -------------------------------------------------

                                                                    Frequency

 

                                                            Dose(mg/kg/day) x Weight (kg)

           Administer Amount (ML) = -------------------------------------------------------

                                                           Concentration (mg/ml) x Frequency

 

 

If the units selected are mg/kg/DOSE:

 

           Administer Dose (MG) =    Dose(mg/kg/DOSE) x Weight (kg)

 

 

                                                         Dose(mg/kg/DOSE) x Weight (kg)

           Administer Amount (ML) = -----------------------------------------------------

                                                                    Concentration (mg/ml)

 

 

Once all information has been entered and Update is selected, the Dose Calculator screen will close and the Non-IV Medication Order Edit screen for the selected medication item will open. The screen will now display with the following additions:

 

The Dose field will have the Administer Dose value listed in the Dose/Unit

 

A new label titled Administer Amount: followed by the calculated dose from the Administer Amount on the Dose Calculator screen will display.

e.g. Administer Amount:   0.06 Tablet, Enteric Coated

 

The  "Dose:", "Frequency:", and "Times" may be modified from the Non-IV Medication Order Edit screen.

 

 

Select Order Entry > select Medication

 

Non-IV Medication Order Edit