Datum
Medication
date
liposomales Amphotericin
liposomales Amphotericin B
boolean
Target dose (3 mg / kg body weight)
float
absolute dose
start of the infusion
time
end of infusion
Caspofungin
caspofungin
Absolut-Dosis
Concomitant Medication
Concomitant medication log and Adverse Event Log filled?
Fulfilled termination criteria?
Day 4: Blood samples for the analysis of plasma concentrations
Blood sample 1
Blood sample 2
Blood sample 3
Blood sample 4
Blood sample 5
Date and signature
Date, signature
text