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    Henry Philip Sabado Presto
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    23 views1 page

    IVF

    Uploaded by

    Henry Philip Sabado Presto

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Patient Name: ________________________

    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:

    Patient Name: ________________________


    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:

    Patient Name: ________________________


    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:

    Patient Name: ________________________


    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:
    Patient Name: ________________________
    Rm.#___
    Bottle #: ___ IVF Fluids:
    _______________________
    Drug Incorporation:
    Flow Rate: ___ gtts/min _____ cc/hr
    Date & Time Started:

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