Labs

Tamiflu Renal Dosing

Reminder: Tamiflu Dosing

Per manufacturer recommendations,

Tamiflu should be adjusted for renal impairment.

 

Renal function should be viewable in PowerChart in Related Results while prescribing

Adult Influenza Treatment: Renal Impairment

  • Adults with renal impairment (Moderate, CrCl greater than 30 up to 60 mL/min): 30 mg orally twice daily for 5 days 
  • Adults with renal impairment (Severe, CrCl greater than 10 up to 30 mL/min): 30 mg orally once daily for 5 days
  • Adults with ESRD on hemodialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 mg after every hemodialysis cycle; treatment duration not to exceed 5 days from the time of the initial dose 
  • Adults with ESRD on continuous ambulatory peritoneal dialysis (CrCl 10 mL/min or less): Single 30-mg oral dose immediately 
  • Adults with ESRD not on dialysis, influenza treatment: Use not recommended

Adult Influenza Prophylaxis: Renal Impairment

  • Adults with renal impairment (Moderate, CrCl greater than 30 up to 60 mL/min): 30 mg orally once daily 
  • Adults with renal impairment (Severe, CrCl greater than 10 up to 30 mL/min): 30 mg orally every other day
  • Adults with ESRD on hemodialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 mg after alternate hemodialysis cycles 
  • Adults with ESRD on continuous ambulatory peritoneal dialysis (CrCl 10 mL/min or less): 30 mg orally immediately, then 30 once weekly 
  • Adults with ESRD not on dialysis, influenza prophylaxis: Use not recommended

 

 

Print HERE printable tutorial

New Process for Lab Add On

 

Beginning Wednesday, February 19 at 0800, the Lab Add order will not be available.

·      When ordering tests on samples already in the Lab, you will no longer order Lab Add and freetext the name of the test. 

·      You will now order the test you are requesting and select the Priority of Lab Add On (priority is where you normally would enter STAT or Routine)

 

Ex. if there is a Hemoglobin and Hematocrit in the lab, you can add a full CBC as follows:

Orders for Culture Lab Add Order & Lab Add Order will not be available for Inpatients.

Orders for Laboratory Add Test & Laboratory Add Test KingsPark will not be available for clinics.

**All labs can now be ordered with a priority of Lab Add On**

 

Call the UMC Provider Support line for futher assistance or for more education 775-8255

 

Print HERE for Printable Tutorial