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OP CAPECITABINE	

Types:      ONCOLOGY TREATMENT
Synonyms:  CAPECITABINE, XELODA, CAP, ZELO, BREAST 

Cycle 1	Repeat 1 time	Cycle length: 21 days	Day 1	Perform every 1 day x1		Provider Communication
  	ONC PROVIDER COMMUNICATION 64	Interval: --	Occurrences: --	Comments:	Verify Hep B panel status prior to cycle. Date *** of panel. Result positive/negative/pending/unknown:22867

The required components for the hepatitis B panel includes: Hepatitis B surface antigen (HBsAg), total hepatitis B core antibody (anti-HBc), and hepatitis B antibody (anti-HBs).
			Labs
☑	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --		☑	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		☑	MAGNESIUM LEVEL	Interval: --	Occurrences: --		☐	URINALYSIS, AUTOMATED WITH MICROSCOPY	Interval: --	Occurrences: --		☐	CANCER ANTIGEN 27-29 (CA BR)	Interval: --	Occurrences: --		☐	MISCELLANEOUS REFERRAL TEST	Interval: --	Occurrences: --			Nursing Orders
  	TREATMENT CONDITIONS 7	Interval: --	Occurrences: --	Comments:	HOLD and notify provider if 
o ANC LESS than 1000; 
o Platelets LESS than 100,000.
			Take-Home Medications Prior to Treatment
◯	capecitabine (XELODA) 500 mg chemo tablet	Dose: 1,000-1,250 mg/m2	Route: oral	2 times daily	Dispense: --	Refills: 0	Start: S	End: S+14				Take-Home Medications Prior to Treatment
  	ondansetron (ZOFRAN) 8 MG tablet	Dose: 8 mg	Route: oral	PRN	Dispense: --	Refills: 0	Start: S	End: S+21			  	loperamide (IMODIUM) 2 mg capsule	Dose: 2 mg	Route: oral	PRN	Dispense: --	Refills: 0	Start: S	End: S+21				Nursing Orders
  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	Verify that the patient has taken appropriate oral chemotherapy medication from home prescription.
					
Cycles 2 to 4	Repeat 3 times	Cycle length: 21 days	Day 1	Perform every 1 day x1		Labs
☑	COMPREHENSIVE METABOLIC PANEL	Interval: --	Occurrences: --		☑	CBC WITH PLATELET AND DIFFERENTIAL	Interval: --	Occurrences: --		☑	MAGNESIUM LEVEL	Interval: --	Occurrences: --		☐	URINALYSIS, AUTOMATED WITH MICROSCOPY	Interval: --	Occurrences: --		☐	CANCER ANTIGEN 27-29 (CA BR)	Interval: --	Occurrences: --		☐	MISCELLANEOUS REFERRAL TEST	Interval: --	Occurrences: --			Nursing Orders
  	TREATMENT CONDITIONS 7	Interval: --	Occurrences: --	Comments:	HOLD and notify provider if 
o ANC LESS than 1000; 
o Platelets LESS than 100,000.
			Take-Home Medications Prior to Treatment
◯	capecitabine (XELODA) 500 mg chemo tablet	Dose: 1,000-1,250 mg/m2	Route: oral	2 times daily	Dispense: --	Refills: 0	Start: S	End: S+14				Take-Home Medications Prior to Treatment
  	ondansetron (ZOFRAN) 8 MG tablet	Dose: 8 mg	Route: oral	PRN	Dispense: --	Refills: 0	Start: S	End: S+21			  	loperamide (IMODIUM) 2 mg capsule	Dose: 2 mg	Route: oral	PRN	Dispense: --	Refills: 0	Start: S	End: S+21				Nursing Orders
  	ONC NURSING COMMUNICATION 15	Interval: --	Occurrences: --	Comments:	Verify that the patient has taken appropriate oral chemotherapy medication from home prescription.