Get Dosage Card (version 5

Filling out the Dosage Card (Version 5) online is a straightforward process that requires careful attention to detail. This guide will walk you through each section of the card, ensuring that you provide accurate information necessary for dosage calculations.

Follow the steps to complete the Dosage Card effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the weight of the individual in the designated field. Ensure that the weight is recorded in kilograms (kg) as precision is critical for accurate dosage calculations.
3. Select the appropriate class of the radiopharmaceutical from the provided options (Class A, B, C). Each class corresponds to specific dosage recommendations.
4. Refer to the multiple of baseline activity according to the selected weight. This is essential for calculating the recommended dosage based on the baseline activity listed in the form.
5. If necessary, calculate the administered activity by multiplying the baseline activity by the appropriate multiple given in the form. Ensure that the resulting dosage meets the minimum recommended activity or exceeds the national diagnostic reference levels.
6. Review all entries for accuracy and completeness. If you need to make any adjustments, go back and make the necessary changes.
7. Once all information is confirmed to be correct, you can save changes, download, print, or share the form using the provided options in the editor.

Complete the Dosage Card (Version 5) online to ensure safe and effective dosage administration.