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  • Iiiiii

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    jovan teopiz
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    The document contains 4 IV TAG forms documenting intravenous infusions for patient Trixie C. Araneta. The first IV was started at 1:15 PM with D5LR at 30 gtts/min. The second IV started at 5:05 PM with D5LR and oxytocin at 10 gtts/min. The third IV started at 5:05 PM with PLR running at 30 gtts/min. The final IV started at 8:07 PM with D5LR and oxytocin at 30 gtts/min to run to 200 ml. Each IV is documented with patient information, fluid/medication, flow rate, start time, duration and staff initials.

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    The document contains 4 IV TAG forms documenting intravenous infusions for patient Trixie C. Araneta. The first IV was started at 1:15 PM with D5LR at 30 gtts/min. The second IV started at 5:05 PM with D5LR and oxytocin at 10 gtts/min. The third IV started at 5:05 PM with PLR running at 30 gtts/min. The final IV started at 8:07 PM with D5LR and oxytocin at 30 gtts/min to run to 200 ml. Each IV is documented with patient information, fluid/medication, flow rate, start time, duration and staff initials.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views3 pages

    Iiiiii

    Uploaded by

    jovan teopiz
    The document contains 4 IV TAG forms documenting intravenous infusions for patient Trixie C. Araneta. The first IV was started at 1:15 PM with D5LR at 30 gtts/min. The second IV started at 5:05 PM with D5LR and oxytocin at 10 gtts/min. The third IV started at 5:05 PM with PLR running at 30 gtts/min. The final IV started at 8:07 PM with D5LR and oxytocin at 30 gtts/min to run to 200 ml. Each IV is documented with patient information, fluid/medication, flow rate, start time, duration and staff initials.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    IV TAG IV TAG

    Patient: Araneta, Trixie C, Patient: Araneta, Trixie C,

    Room/Bed No.: Room/Bed No.:

    Fluid/Infusion: D5LR Fluid/Infusion: D5LR 6.5 “u” oxytocin

    Medication/Additives: Medication/Additives: Oxytocin

    Flow rate: 30 gtts/min Bottle No.: 1 Flow rate: 10 gtts/min Bottle No.: 1

    Time Started: 1::15 P.M. Time Started: 5:05 P.M.

    Duration of Infusion: Duration of Infusion:

    Time Due: Time Due:

    Initiated by: Initiated by:

    ________________________________________ ________________________________________

    Printed Name & Signature of NOD 1 Printed Name & Signature of NOD 1

    ________________________________________ ________________________________________

    Printed Name & Signature of NOD 2 Printed Name & Signature of NOD 2

    DOH-SWUMed-NSD-F-027 Rev.1 DOH-SWUMed-NSD-F-027 Rev.1

    IV TAG
    Patient: Araneta, Trixie C, Patient: Araneta, Trixie C,

    Room/Bed No.: Room/Bed No.:

    Fluid/Infusion: PLR 1L Fluid/Infusion: D5LR 10 “u” oxytocin

    Medication/Additives: Medication/Additives: Oxytocin

    Flow rate: 30 gtts/min Bottle No.: 1 Flow rate: 15 gtts/min Bottle No.: 1

    Time Started: 5:05 P.M. Time Started: 2:30 P.M.

    Duration of Infusion: 200 cc to run MFD Duration of Infusion:

    Time Due: Time Due:

    Initiated by: Initiated by:

    ________________________________________ ________________________________________

    Printed Name & Signature of NOD 1


    Printed Name & Signature of NOD 1
    ________________________________________
    ________________________________________
    Printed Name & Signature of NOD 2
    Printed Name & Signature of NOD 2

    DOH-SWUMed-NSD-F-027 Rev.1
    DOH-SWUMed-NSD-F-027 Rev.1
    IV TAG

    Patient: Araneta, Trixie C,

    Room/Bed No.:

    Fluid/Infusion: D5LR 20“u” oxytocin

    Medication/Additives: Oxytocin

    Flow rate: 30 gtts/min Bottle No.: 1

    Time Started: 8:07 P.M.

    Duration of Infusion: run to 200 ml as MFD

    Time Due:

    Initiated by:

    ________________________________________

    Printed Name & Signature of NOD 1

    ________________________________________

    Printed Name & Signature of NOD 2

    DOH-SWUMed-NSD-F-027 Rev.1

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