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TDM Request Fax TO Hunter Drug Information Service FROM FAX (401) 43698 TEL (401) 43695 DATE SUBJECT Therapeutic Drug Monitoring (TDM) Service for aminoglycosides (only intended for once daily directed
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How to fill out aminoglycoside monitoring fax request
How to fill out aminoglycoside monitoring fax request
01
Gather all necessary information about the patient and their aminoglycoside medication.
02
Fill in the patient's name, date of birth, and contact information on the fax request form.
03
Specify the type and dose of the aminoglycoside medication being prescribed for the patient.
04
Indicate the frequency and duration of the medication regimen.
05
Include any relevant information about the patient's medical condition or history that may affect the monitoring process.
06
Provide clear instructions on where the monitoring results should be sent.
07
Double-check all the information for accuracy and completeness.
08
Send the filled-out fax request form to the designated recipient.
09
Keep a copy of the fax request form for your records.
Who needs aminoglycoside monitoring fax request?
01
Aminoglycoside monitoring fax request is needed by healthcare professionals who are prescribing aminoglycoside medications to their patients.
02
It is also required by pharmacies or laboratories responsible for monitoring the patient's aminoglycoside therapy.
03
The fax request ensures proper monitoring of the medication's therapeutic levels, potential toxic effects, and necessary dose adjustments.
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What is aminoglycoside monitoring fax request?
Aminoglycoside monitoring fax request is a form used to request monitoring of aminoglycoside drug levels in a patient's blood.
Who is required to file aminoglycoside monitoring fax request?
Healthcare providers or pharmacists who are responsible for monitoring aminoglycoside therapy in patients.
How to fill out aminoglycoside monitoring fax request?
The form must be completed with the patient's information, drug dosages, requested monitoring frequency, and contact information of the healthcare provider.
What is the purpose of aminoglycoside monitoring fax request?
The purpose is to ensure that aminoglycoside therapy is safe and effective by monitoring drug levels in the patient's blood.
What information must be reported on aminoglycoside monitoring fax request?
Patient's information, drug dosages, monitoring frequency, and healthcare provider's contact information.
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