C09994941 / invoice 10000

Reason: Chemo Week 15Appointment Notes: RUNNING 5 MIN LATEVomiting after last VBL dose and mucoid diarrhea. Given cerenia and ondansetron 4pm after chemo last time. He was back to normal the next day. . Sedation 0.18ml medetomidine and 0.91ml butorphanol IMIVC placedBloods show no contraindication to proceeding with VBLMaropitant 1mg/kg IV. 31.4kg = 1.005m2 BSAVBL dose 1.6mg/m2 with 20% dose reduction = 1.29mlUncomplicated administration.PLAN:- Ondansetron when home. - Tapering prednisolone course over 6 weeksCurrently 7.5mg PO EOD ( dose HALVED due to GIT complications)20x Pred X 5mg Tabs               Give alternate days to PalladiaGive one tablet every second day with food for 3 weeks Give half a tablet every second day with food for 2 weeks. Give half a tablet every 3rd day with food for 1 weeks. - Wean Fluoxetine over 6 weeks.    Vital Signs    Weight: 31.4;