To update the dose rates for patients with weight changes, firstly, you should re-weigh the patient and enter the updated weight value before adding the next 24hrs to the flow sheet, that way the software can start to use the most recent weight to calculate doses.

When starting a new day and updating the patient weight, the medication dose on the flow sheet will not automatically update. The reasoning behind this is because we don't want the fluctuation in dehydrated patients to be drastically changing the medications, but we also don't want doses to be changing without the clinician's acknowledgment. 

In order to approve any dose change if the patient's weight changed you must manually update medications currently on the Flow Sheet by either by using the iPad, or the Web. 

- open the medication parameter on the Flow Sheet (on the iPad it will be in the 'Edit' mode)

- tap on the dosage window 

- delete current dosage and enter zero

- after the current dosage is re-set, enter the dosage again

- this will now update your total dose

- you can now save the changes

The dose will be updated to the current weight of the patient, and any new medications entered on the Flow sheets will reflect the updated weight of the patient. 

The above principles also apply when updating the weight on the Anesthetic Sheet.

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