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<table | <table width=100%; border=1> | ||
<tr class="v-firstrow"><th><br> <br> <br> Obtain a focused history:<br> <br> <br> </th></tr> | <tr class="v-firstrow"> | ||
<tr><td> <br> <br> <br> ❑ Time since last ingestion <br> <br> <br> | <th width=100%> <p><font size="100"> <br> <br> <br> Obtain a focused history:<br> <br> <br> </font> </p> </th> | ||
</tr> | |||
<tr> | |||
<td width=100%> <br> <br> <br> ❑ Time since last ingestion <br> <br> <br> | |||
<br> <br> <br>❑ Number of tablets/other dosing form taken< br> <br> <br> | <br> <br> <br>❑ Number of tablets/other dosing form taken< br> <br> <br> | ||
<br> <br> <br>❑ Frequency of dosage <br> <br> <br> | <br> <br> <br>❑ Frequency of dosage <br> <br> <br> | ||
<br> <br> <br>❑ Other ingested substances <br> <br> <br> </td></tr> | <br> <br> <br>❑ Other ingested substances <br> <br> <br> </td> | ||
<tr><td> <br> <br> <br> [[Sandbox 2|'''NEXT''']] <br> <br> <br> </td></tr> | </tr> | ||
<tr> | |||
<td width=100%> <br> <br> <br> [[Sandbox 2|'''NEXT''']] <br> <br> <br> </td> | |||
</tr> | |||
</table> | </table> |
Revision as of 18:52, 19 February 2014
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❑ Time since last ingestion
❑ Other ingested substances |
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