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TREATMENT ADMINISTRATION RECORD (Tx A)/ MEDICATION ADMINISTRATION RECORD (MAR)

Patient’s Name: (Last, First, Middle) Sex Age CS Rm/Ward # Hospital #


RPM F 44 ER BGHMC
Medicines, dosage, Date 08/07/19 08/08/19 08/09/19
route of Shift TIME TIME TIME TIME TIME TIME TIME
administration &
frequency
TPR q Shift 8am/
7-3
AI
3pm/
3-11
AI
10pm/
11-7
AI
HNBB 1tab qh, re 8am/AI
asses after 5tabs 9 am/AI
7-3 10am/AI
11am/AI
12pm/AI
3-11
11-7
Carboprost 125 mg 7-3
1m @12MN 3-11
12am/
11-7
AI
Clindamycin 300mg 8am/
7-3
BID, AI
post op 8pm/
3-11
AI
11-7
Mefenamic Acid 8am/
7-3
500mg BID, post op AI
8pm/
3-11
AI
11-7
FeSO4+Folic Acid 8am/
7-3
1tab BID, post op AI
8pm/
3-11
AI
11-7
Malungay extract 10am/
7-3
1tab qd, post op AI
3-11
11-7
Hot Sitz BID, post op 7am/
7-3
AI
5pm/
3-11
AI
11-7
Perilight TID, post op 9am/
7-3 AI
2pm/AI
3-11 7pm/
AI
11-7
Paracetamol 300mg 8am/
7-3
IV now, 500mg 1tab AI
prn > 37.8  c 3-11
11-7
Ketoprofen 75mg BID 8am/
7-3
AI
8pm/
3-11
AI
11-7
7-3
3-11
11-7
7-3
3-11
11-7
7-3
Name and Signature
3-11
of Medication Nurse
11-7

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