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Medication Date/Time Date/Time Date/ Time Date/ Time Date/ Time Date/ Time

03- 23-2021

Omeprazole 40 mg
TAB BID

Tramadol 50mg
PO BID

Cabanban, Marielle
SN-ABC/Gallardo R.N

Name: Mr. A.D. Age:_40 years old Sex: M Ward: Medical


Zamboanga del Norte Medical Center
Sicayab, Dipolog City

IVF TAG
Date: March 16, 2020

Name of Patient: A.D.


Solution: 0.9% NaCl No: of gtts/min: 20
Time started: 9:00am No. of bottle: 1
Incorporation:
___________________
Signature:

IVF PLR 1 Litter at a rate of 20gtts/hr

= 1000 mL X gtts/mL
60 minutes

= 20,000 gtts/mL
1,200 minutes

= 16.66 or 17 gtts/mins
Medication ticket
Mr. A.D.
RM
PRN1
Omeprazole 40 mg
TAB BID

Mr. A.D.
RM
PRN1
Tramadol 50mg
PO BID

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