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Get Bravclod - BC Cancer Agency

DOCTOR S SIGNATURE SIGNATURE UC BC Cancer Agency Provincial Preprinted Order BRAVCLOD Created April 4th 2005 Revised 1 Sep 2015. Information on this form is a guide only. User will be solely responsible for verifying its currency and accuracy with the corresponding BCCA treatment protocols located at www. bccancer. bc.ca and according to acceptable standards of care PROTOCOL CODE BRAVCLOD PO DOCTOR S ORDERS Htcm Wtkg BSAm REMINDER Please ensure drug allergies and previous are documented on the Allergy Alert Form DATE TREATMENT 800 mg PO once daily for weeks then increase to 1600 mg PO once daily x months. Bccancer. bc.ca and according to acceptable standards of care PROTOCOL CODE BRAVCLOD PO DOCTOR S ORDERS Htcm Wtkg BSAm REMINDER Please ensure drug allergies and previous are documented on the Allergy Alert Form DATE TREATMENT 800 mg PO once daily for weeks then increase to 1600 mg PO once daily x months. Take on an empty stomach. Refill x OR RETURN APPOINTMENT ORDERS rd Serum Creatinine every 3 treatment clarify If clinically indicated Serum Calcium Albumin Other tests Consults See general orders sheet for additional requests.

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