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MONITOR
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Name:
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Date:
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Chief Complaint/s
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Allergies:
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Number of EBOO in the past
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Which EBOO treatment number is this session currently on?
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Pre-EBOO
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BP:
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Heart Rate:
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Temperature:
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Pulse Ox:
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Start Time:
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# of sticks:
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EBOO INFLOW (push blue) location
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EBOO OUTFLOW (pull red line) location:
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EBOO INFLOW Catheter Gauge 18 or 20?
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EBOO OUTFLOW Catheter Gauge 18 or 20?
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O2 Liters per minute flow rate: 1 LPM
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Pump Speed: 100
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Ozone Output Setting I (3.5 gamma) or II (7 gamma) or No Ozone
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Blood Thinners?
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List of Supplements:
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Binders?
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Chelation:
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PlaqueX
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Methylene Blue:
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NAD+
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Inflammatory Fluid
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Post-EBOO
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End Time:
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Normal Saline: 500 ml +
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Heparin used: in ml
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Units:
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Discard Fluid Volume:
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Notes:
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Blood:
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IV Nutrients:
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Observation:
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Doctor:
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Assistant:
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