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Republic of the Philippines

Provincial Government of Pampanga

Diosdado P. Macapagal Memorial Hospital


Guagua, Pampanga
Philhealth Accredited

ONCOLOGY INVENTORY TOOL


DRUGS
Carboplatin

Cyclophosphamide

Docetaxel

Doxorubicin

Fluorouracil
(5FU)

DOSE
150mg/
vial
450mg/
vial

Hematopoietic
Agent (GCSF)

NOTES
Total #: _____________

----

Total #: _____________

- available drug

----

Total #: _____________

- drug given

1g/vial

----

500mg/
vial
80mg/
vial
20mg/
vial

----

Total #: _____________

----

Total #: _____________

----

Total #: _____________

----

Total #: _____________

50mg/
vial

----

20mg/
vial

----

Total #: _____________

----

Total #: _____________

500mg/
vial
1g/vial

Gemcitabine

# OF VIALS/AMPULES
----

200mg/
vial
300ug/
vial

----

----
----
----

Total #: _____________

----

Total #: _____________

----

Total #: _____________

----
----

Hensetron

1mg/
mL

Leucovorin
Calcium

50mg/
ampule

Oxaliplatin

50mg/
vial

Total #: _____________

----
----
----

Total #: _____________

----
----

Total #: _____________

LEGEND

OTHERS:
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