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Ketamine Infusion
|
|
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Greater than 1 Hour
|
|
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Reason for Treatment
• • •
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Previous Treatment Trials
• • •
|
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Risk/Benefits
|
|
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Infusion
|
Push
|
|
IV Placement
• • •
|
Attempts
• • •
|
|
KETAMINE
|
|
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Dose
• • •
|
Time
• • •
|
|
Dose
• • •
|
Time
• • •
|
|
ADDITIONAL MEDICATIONS
|
|
|
Additional Medications Given
• • •
|
|
|
PAIN/DX
|
|
|
Pre-Treatment Pain Score
• • •
|
Post-Treatment Pain Score
• • •
|
|
Associated Diagnosis
• • •
|
|
|
BLOOD PRESSURE
|
|
|
Starting Blood Pressure
|
|
|
Blood Pressure
|
|
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Mid Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
Mid Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
Mid Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
Mid Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
Mid Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
Post Infusion Blood Pressure
|
|
|
Blood Pressure
|
|
|
DISCHARGE
|
|
|
Post-Treatment Improvements
• • •
|
|
|
Discharge Instruction
|
|
