MAR Case 4
MAR Case 4
Citicoline 1 gm IVTT 10:52 SIGNED 6:00 SIGNED 6:00 SIGNED 6:00 SIGNED
q6H 12:00 SIGNED 12:00 SIGNED 12:00 SIGNED
6:00 SIGNED 6:00 SIGNED 6:00 SIGNED
12:00 SIGNED 12:00 SIGNED 12:00 SIGNED
Diphenhydramine 50 8 SIGNED
mg/amp 1 amp IVTT
Signature Specimens:
(Provide signature beside full name in print)
DOH-SWUMed-NSD-F-013 Rev.2
MEDICATION ADMINISTRATION RECORD (MAR)
1
Memantine (Memry) 8 SIGNED
10 mg/tab, ½ tab OD
Atorvastatin 8 SIGNED
40mg/tab, 1 tab, OD
HS