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MEDICATION(S) ADDED

MEDICATION(S) ADDED 1- _______ Qty: ______ 2- _______ Qty: ______ Flow rate __________ml/hour Patient/Ch/Date/Time/By Color:...

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NAME: / ROOM: / SOLUTION:

Name: / Room: Solution : Debit : Date: / Time: / Nurse (Additive - Solute) Colour: Blue/White Quantity: 500 labels per...

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ALLERGIC TO:

Allergic to: Color: Black/Yellow Quantity: 500 labels per roll Size: 17/32 X 3 in.

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