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Medication Administration Record (MAR) p.

Name: Mildred Campbell MR# 8675309 DOB: 4/10/1953 Allergies: NKDA Admit date: 11/05/2020

Medication (order Time 0600 0700 0800 0900 1000 1100 1200 1300 1400 1500 1600 1700 1800
details)

Routine Meds

PPD 0.1 mL ID x1

NPH insulin
20 units SQ QAC BID
(breakfast & dinner)

Regular Insulin
Sliding Scale QAC &
HS
FS 0-150 = 0 units
FS 151-200 = 5 units
FS 201-250 = 8 units
FS 251-300 = 10 units
FS >300 give 15 units
and call provider

Heparin 5,000 units


SubQ daily

Hydromorphone 2mg
IM x1 now
Medication Administration Record (MAR) p.2

Promethazine 12.5
mg IM x1 now
Medication Administration Record (MAR) p.3

Standard Dosing Times

Daily (QD) (alternative) 0900

Twice daily (BID) Every 12 hr (Q12h) 0900, 2100

Three times daily (TID) routine 0900, 1400, 2100

With meals 0800, 1200, 1700

Four times daily (QID) 0900, 1300, 1700, 2100

Every four hours (Q4h) 0100, 0500, 0900, 1300, 1700, 2100

Every six hours (Q6h) 0600, 1200, 1800, 2400

Bedtime (QHS) 2100

*IV anti-infective *Time determined by first dose

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