Amphotericin
Amphotericin B
boolean
Target dose (3 mg / kg body weight)
float
Cumulative dose
float
Start of infusion
time
End of infusion
time
Caspofungin
Caspofungin
boolean
Cumulative dose
float
Start of infusion
time
End of infusion
time
Concomitant Medication
Concomitant medication log and adverse event log updated?
boolean
Have the termination criteria been fulfilled?
boolean
Date and signature