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This document serves as a guide for prescribers to complete an infusion order for UPLIZNA (inebilizumab-cdon) for patients diagnosed with neuromyelitis optica spectrum disorder (NMOSD). It includes patient information, physician details, pre-infusion requirements, medication administration guidelines, and important safety information regarding the use of UPLIZNA.
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How to fill out infusion order

How to fill out infusion order
01
Start by gathering the patient's medical information.
02
Review the specific medication or fluid that requires infusion.
03
Determine the infusion rate and volume based on the physician's orders.
04
Complete the patient's demographic information on the order form.
05
Specify the route of administration (e.g., IV, subcutaneous).
06
Include any necessary allergy information related to the infusion.
07
Ensure the orders are reviewed and signed by the prescribing physician.
08
Submit the completed infusion order to the pharmacy or appropriate department.
Who needs infusion order?
01
Patients requiring medications or fluids administered through an intravenous route.
02
Individuals with specific conditions that necessitate infusion therapy.
03
Patients with hydration needs that cannot be met by oral intake.
04
Patients undergoing chemotherapy or receiving biologic treatments that require careful monitoring.
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What is infusion order?
An infusion order is a medical directive written by a healthcare provider that specifies the administration of intravenous (IV) fluids and medications to a patient.
Who is required to file infusion order?
Healthcare providers, including physicians and nurse practitioners, are typically required to file infusion orders for their patients.
How to fill out infusion order?
To fill out an infusion order, the provider must document the patient's information, the specific infusion treatment and dosage, the administration schedule, and any required monitoring parameters.
What is the purpose of infusion order?
The purpose of an infusion order is to ensure the safe and effective administration of IV treatments and to provide clear instructions to healthcare staff.
What information must be reported on infusion order?
The information that must be reported on an infusion order includes patient identification, infusion type, dosage, infusion rate, start time, and duration of the treatment.
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