Onc Calcs

HAI Floxuridine Dose Adjustment

Compares total bilirubin, AST and alkaline phosphatase against the reference D1 labs and applies the HAI floxuridine dose-modification table. Labs can be read from an Epic flowsheet screenshot or pasted text, or typed in by hand.

1 Load the labs

Type the nine values from the chart — total bilirubin, AST and alkaline phosphatase on the reference D1, the prior D15 and the current D1 — straight into the table in step 2. The dates are optional.

Paste a screenshot (Ctrl/⌘+V), drop an image here, or click to choose a file.
Epic flowsheet with the date header row and the Total Bilirubin, Alk. Phosphatase and AST rows visible.
Screenshot being read
    Columns whose date could not be read — enter the date from the chart

    Everything is processed in this browser. The screenshot and lab values are never uploaded or saved.

    2 Dates and lab values — review every cell

    After a hold, this stays the last D1 when floxuridine was given — not C1D1.

    Prior D15 is suggested as the date closest to D1 + 14 days (±3), and current D1 as the latest date. Change either with the selector in the column header; “Other date…” takes a date that is not in the loaded labs.

    Lab Reference D1— Prior D15 Current D1

       Highlighted cells were unclear to the reader, flagged H/L, or disagreed between reads — check them against the chart. ALT is not used for floxuridine dosing.

    3 Situation and calculate
    mg

    Needed only to show the new dose in mg. Starting-dose calculator

    Result
    LabReferenceComparatorFold changeDoseNote

          Clinical decision support only. Rules follow the Intera Oncology HAI program guide §4.2–4.8 with Moffitt laboratory normal ranges; institutional protocol, pharmacist verification and clinical judgment supersede this result. Screenshot reading can be wrong — every value must be checked against the chart before calculating.