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Paramedic Pharmacology > Paramedic Pharmacology Doses > Flashcards

Paramedic Pharmacology Doses Flashcards

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1
Q

Diltiazem (Cardizem) Adult/Pediatric Doses

A

Adult Dose: 15-20 mg IV/IO

Pediatric Dose: Not recommended

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2
Q

Adenosine (Adenocard) Adult/Pediatric Doses

A

Adult Doses: SVT: 6 mg rapid IV/IO push followed by 10-20 ml flush-12 mg after 1-2 min
Poorly perfusing SVT: 12 mg rapid IV/IO push followed by 10-20 ml flush-12 mg after 1-2 min
Pediatric Dose: 0.1 mg/kg rapid IV/IO push followed by 10 ml flush may repeat with 0.2 mg/kg after 1-2 min

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3
Q

Amiodarone (Cordone) Adult/Pediatric Doses

A

Adult Dose: VF/pulseless VT: 300 mg IV/IO push initial dose can be followed once in 3-5 min at 150 mg IV/IO push. Other indications: loading dose of 150 mg IV/IO over 10 min, may repeat every 10 min if needed. After conversion, follow with a 1 mg/min infusion for 6 hours and then a 0.5 mg/min maintenance infusion over 18 hours. Max cumulative dose: 2.2 g IV/IO per 24 hours
Pediatric Dose: Refractory VF/pulseless VT: 5 mg/kg IV/IO bolus. Can repeat the 5 mg/kg IV/IO bolus up to a total dose of 15 mg/kg per 24 hours. Max single dose: 300 mg. Perfusion ventricular or atrial dysrhythmias: loading dose 5 mg/kg IV/IO over 20-60 min. Can repeat to max dose of 15 mg/kg per day

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4
Q

Lidocaine Hydrochloride (Xylocaine) Adult/Pediatric Doses

A

Adult Dose: Cardiac arrest/pulseless VT/VF: initial dose: 1-1.5 mg/kg IV/IO. Repeat dose: 0.5-0.75 mg/kg IV/IO repeated in 5-10 min. Max total dose: 3 mg/kg stable VT, and wide-complex tachycardia of unknown etiology: maintenance infusion: 1-4 mg/min: can dilute in D5W or normal saline. Local anesthetic dose varies depending on procedure and location
Pediatric Dose: IV/IO dose: 1 mg/kg rapid IV/IO push. Max dose 100 mg. Continuous IV/IO infusion: 20-50 mcg/kg per minute. Repeat bolus dose when infusion is initiated if bolus has not bee given within previous 15 min. Local anesthetic dose varies depending on procedure and location

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5
Q

Procainamide hydrochloride (Pronestyl) Adult/Pediatric Doses

A

Adult Dose: Recurrent VF/pulseless VT: 20 mg/min slow IV infusion until the dysrhythmia is surpassed. Max dose: 17 mg/kg. In urgent situations, up to 50 mg/min may be administered. Max dose: 17 mg/kg. Other indication: 20 mg/min slow IV infusion until any one of the following occurs: dysrhythmia supression, hypotension, QRS widens by > 50% of its pretreatment width, or total dose of 17 mg/kg has been given. Maintenance infusion: 1-4 mg/min. Reduce dose in presence of renal infusfiency
Pediatric Dose: Loading dose 15 mg/kg IV/IO over 30/60 min

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6
Q

Digoxin ( Lanoxin) Adult/Pediatric Dose

A

Adult dose: loading dose: 4-6 mcg/kg over 5 min. Second and third: bolus of 2-3 mcg/kg to follow at 4-8 hour intervals
Pediatric Dose: Not recommended in prehospital setting

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7
Q

Aspirin (acetylsalicylic acid) Adult/Pediatric Doses

A

Adult Dose: 160-324 mg (4 baby aspirin)

Pediatric Dose: Not recommended

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8
Q

Nitroglycerin (Nitrostat) Adult/Pediatric Doses

A

Adult Dose: 0.4 mg SL: may repeat in 3-5 min to max of 3 doses. NTG IV infusion: being at 10 mcg/min: increases by 10 mcg/min every 3-5 min until desired effect. Max dose 200 mcg/min
Pediatric Dose: Not recommended

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9
Q

Nitroprusside (Nitropress) Adult/Pediatric Doses

A

Adult/Pediatric Dose: 0.3-10 mcg/kg per min

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10
Q

Hydralazine (Apresoline) Adult/Pediatric Doses

A

Adult Doses: 5-10 mg IV/IO, 10-50 mg PO

Pediatric Doses: 0.1-0.2 mg/kg IV, 0.75 mg/kg per day in divided dose PO

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11
Q

Magnesium Sulfate Adult/Pediatric Doses

A

Adult Dose: seizure activity associated with pregnancy: 1-4 g of a 10% solution IV/IO over 3 min. Max dose 30-40 g/day. Cardiac arrest due to hypomagnesemia or tornadoes de pointes: 1-2 of 10% solution IV/IO over 5-20 min. Torsades de pointes with pulse: loading dose of 1-2 g in 50-100 ml of D5W over 5-60 min IV. Follow with 0.5-1 g IV. Status asthmatics 1-2 g IV over 15-30 min. Severe bronchoconstriction/ impending respiratory failure: 40 mg/kg iV, max dose is 2 g
Pediatric Dose: pulseless V-tach with tornadoes de pointes: 25-50 mg/kg IV/IO bolus of a 10% solution. Max dose 2 g. Torsades de pointes with pulses or hypomagnesemia: 25-50 mg/kg IV/IO of a 10% solution over 10-20 min. Max dose 2 g. Status asthmatics 30-60 mg/kg IV/IO of 10% over 5-30 min. Max dose 2 g

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12
Q

Dopamine (Intropin) Adult/Pediatric Dose

A

Adult Dose: add 400 mg into 250 ml normal saline solution (creating 1600 mcg/ml solution). Low dose: 1-5 mcg/kg/min, moderate dose: 5-10 mcg/kg/min, high dose: 10-20 mcg/kg/min
Pediatric Dose: Add 400 mg into 250 ml normal saline solution (Creating 1600 mcg/ml solution). Low dose: 1-5 mcg/kg/min, moderate dose: 5-10 mcg/kg/min, high dose: 10-20 mcg/kg/min

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13
Q

Vasopressin (Pitressin) Adult/Pediatric Doses

A

Adult Dose: 0.02-0.07 unit/min IV infusion

Pediatric Dose: Safety and efficiency not established

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14
Q

Morphine Sulfate (Roxanol) Adult/Pediatric Doses

A

Adult Dose: Stemi: Initial dose: 2-4 mg slow IV (over 1-5 min). Repeat dose: 2-8 mg at 5-15 min intervals. Not STEMI/unstable angina: 1-5 mc IV push if symptoms not relieved by nitrates use with caution
Pediatric Dose: 0.1-0.2 mg/kg per dose IV,IO,IM, SQ. Max dose 5 mg

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15
Q

Fentanyl Citrate (Sublimaze) Adult/Pediatric Doses

A

Adult Dose: 50-100 (1 mcg/kg) IM,IV, or IN slow push (over 1-2 min).
Pediatric Dose: 1-2 mcg/kg Im,IV, or IN slow push over 1-2 min. Safety and efficiency in children younger than age 2 years has not been established

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16
Q

Meperidine Hydrochloride (Demerol) Adult/Pediatric Doses

A

Adult Dose: 50-100 mg IM, SQ. 25-50 mg slow IV

Pediatric Dose: 1-2 mg/kg per dose IV/IO, Im, SQ

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17
Q

Naloxone Hydrochloride (Narcan) Adult/Pediatric Doses

A

Adult Dose: 0.4-2 mg IM/IV/IO/SQ/ET/IN minimum single dose recommended: 2 mg. Repeat at 5 min intervals to a max total dose of 10 mg. For In route administer half the dose in each nostril max dose is 1 ml per nostril: max 1 ml pernostral
Pediatric Dose: 0.1 mg/kg per dose IV/IO/IM/ET ever 2 min as needed. Max total dose of 2 mg. If no response in 10 min administer an additional 0.1 mg/kg per dose

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18
Q

Ketamine (Ketalar) Adult Doses

A

Adult/Pediatric Dose: 1-2 mg/kg iV push over 1-2 min

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19
Q

Etomidate (Amidate) Adult/Pediatric Doses

A

Adult Dose: 0.2-0.6 mg/kg IV over 30-60 seconds (typical adult dose 20 mg)
Pediatric Dose: 0.2-0.4 mg/kg IV/IO over 30-60 seconds for RSI (older than 10 years old) one time only. Max dose: 20 mg

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20
Q

Haloperidol Lactate (Haldol) Adult/Pediatric doses

A

Adult Dose: 2-5 mg Im only ever 30-60 min until sedation is achieved
Pediatric Dose: Not recommended

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21
Q

Thiamine (Vitamin B1) Adult/Pediatric Doses

A

Adult Dose: 10-100 mg IV,IO, IM

Pediatric Dose: 10-25 mg IV, IO, IM

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22
Q

Phenytoin (Dilatin) Adult/Pediatric Doses

A

Adult Dose: Seizures: 10-20 mg/kg slow IV, not to exceed 1 g or rate of 50 mg/min. Dysrhythmias: 50-100 mg slow IV every 5-15 min PRN. Max 1 g
Pediatric Dose: Seizure: 10-20 mg/kg slow IV (1-3 mg/kg per min). Dysrhythmias: 5 mg/kg slow IV. Max 1 g loading dose

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23
Q

Carbamazepine Adult/Pediatric Doses

A

Adult/Pediatric Dose: 100 mg, 100 mg/5 ml: 200 mg: 400 mg: 300 mg

24
Q

Phenobarbital (Luminal) Adult/Pediatric doses

A

Adult Dose: 100-250 mg slow IV or Im. May repeat as needed in 20-30 min
Pediatric Dose: 10-20 mg/kg slow IV/IO/IM. Repeat as needed in 20-30 min

25
Q

Metoclopremide (Reglan) Adult/Pediatric Dose

A

Adult Dose: 10 mg IV over 1-2 min, 10 mg PO

Pediatric Dose: 0.1 mg/kg over 1-2 min

26
Q

Dobutamine Hydrochloride (Dubutex) Adult/Pediatric Doses

A

Adult Dose: IV infusion at 2-20 mcg/kg per min titrated to desired effect. Initial dose of 5-10 mcg/kg per min may be used in severe cardiogenic shock or immediately post cardiac arrest management. Max dose: 40 mcg/kg per min
Pediatric Dose: IV infusion at 2-20 mcg/kg per min titrated to desired effect

27
Q

Ketorolac Tromethamine (Torado) Adult/Pediatric Doses

A

Adult Dose: 30-60 mg IM, 15-30 mg IV

Pediatric Dose: Not recommended

28
Q

Verapamil (Isoptin) Adult/Pediatric Doses

A

Adult Dose: 2.5-5 mg IV/IO with a 2nd dose of 5-10 mg iV/IO in 15-30 min to a max dose of 30 mg
Pediatric Dose: Infant: 0.1-0.2 mg/kg with a max dose of 2 mg. Children: 0.1-0.3 mg/kg with max dose of 5 mg

29
Q

Furosemide (Lasix) Adult/Pediatric Doses

A

Adult Dose: 20-120 mg slow IVP (20 mg/min)

Pediatric Dose: 1 mg/kg slow IVP (20 mg/min)

30
Q

Rocuronium Bromide (Zemuron) Adult/Pediatric Doses

A 
Adult Dose: 0.6-1.2 mg/kg IV/IO
Pediatric Dose (older than 3 months): 0.6-1.2 mg/kg IV/IO
31
Q

Succinylcholine Chloride (Anectine) Adult/Pediatric Doses

A

Adult/Pediatric Doses: 1-2 mg/kg rapid IV. Repeated once if needed

32
Q

Methylprednisolone Sodium Succinate (Solu-Medrol) Adult/Pediatric doses

A

Adult/Pediatric Dose: Asthma, COPD, anaphylaxis: 1-2 mg/kg IV. Status asthmatics/anaphylaxis: 2 mg/kg per dose IV/IO/IM to max dose of 60 mg/24 hours

33
Q

Dexamethasone Sodium Phosphate (Decadron) Adult/Pediatric Doses

A

Adult Dose: 10-100 mg IV (1 mg/kg slow IV bolus).

Pediatric Dose: 0.25-1 mg/kg IV/IO.IM. Given one time with max dose of 16 mg

34
Q

Calcium Chloride Adult/Pediatric Doses

A

Adult Dose: calcium channel blocker over dose and hyperkalemia: 500 mg-1000mg (5-10 ml of 10% solution) IV push. May repeat as needed
Pediatric Dose: calcium channel blockers overdose and hyperkalemia: 20 mg/kg (0.2 ml/kg) slow IV push. Max 1 g dose: may repeat in 10 min

35
Q

Calcium Gluconate Adult/Pediatric Doses

A

Adult Dose: hyperkalemia: 500-1000 mg slow IV/IO push (1-1/5 ml/min) to max of 3 g. Beta-blocker and calcium channel blocker overdose: 3-6 g (30-60 ml) IV/IO followed by a continuous hourly infusion of some doses
Pediatric Dose: Hyperkalemia: 60-100 mg/kg IV/IO slow over 5-10 min to a max of 3 g. Beta-blocker and calcium channel blocker over dose: 60 mg/kg (0.6 ml/kg) IV/IO followed by a continuous hourly infusion of the same dose

36
Q

Parlidoxime (2-PAM) Dosages

A

Dosages: Consult with medical direction: dosage recommendations vary depending not eh degree of exposure and patients age and weight. Commercially avaliable auto injectors contain 600 mg of pralidoxime chloride.

37
Q

Sodium Bicarbonate Adult/Pediatric Doses

A

Adult Dose: 1 mEq/kg slow IV/IO push, may repeat at 0.5 mEq/kg every 10 min
Pediatric Dose: 1 mEq/kg slow IV/IO push (dilute in small children to 4.2%)

38
Q

Atropine Adult/Pediatric Doses

A

Adult Dose: bradycardia: 0.5-1 mg IV/IO push or 1/2 mg ET MR every 3-5 min max 3 mg. Systole/PEA: 1 mg IV/IO push or 2 mg ET MR every 3-5 min-max 3 mg
Pesticides: 2 mg IV/IO/IM push or 4 mg ET MR every 5 min until patients is asymptomatic or shows signs or atropinzation
Pediatric Dose: all cardiac: 0.02 mg/kg IV/IO push minimum single dose is 0.1 mg and max single dose 0.5 mg MR x1 in 5 min 0.04 mg/kg ET with no repeat. Pesticides: 0.05 mg/kg IV/IO/Im or 0.1 mg/kg ET MR every 5 min until patient is asymptomatic

39
Q

Ondansetron Hydrochloride (Zofran) Adult/Pediatric Doses

A

Adult Dose: 4 mg IV/IM/PO/SL, may repeat once in 10 min. Acute mountain sickness: 4 min IV/PO/SL every 6 hours
Pediatric Dose: between age 6 months and 14 years: 0.15 mg/kg IV/PO: may dose is 4 mg

40
Q

Albuterol Adult/Pediatric Doses

A

Adult Dose: Bronchospasm: 5 mg via HHN over 5-15 min may repeat as needed. Crush syndrome: 5 mg via HHN continuous
Pediatric Dose: 0-1 years: 2.5 mg via HHN over 5-15 min may repeat as needed. Over 1 years old=same as adult

41
Q

Ipratrpium Bromide (Atrovent) Adult/Pediatric doses

A

Adult Dose: 0.5 mg mixed with 2.5 mg albuterol via HHN

Pediatric Dose: 0.5 mg mixed with 5 mg albuterol via HHN and then administer only half the volume

42
Q

Levalbuterol (Xopenex) Adult/Pediatric Doses

A

Adult Dose: 1.25-2.5 mg in 3 ml administered by nebulizer every 20 min to a max of 3 doses
Pediatric Dose: 0.075 mg/kg (minimum of 1.25) administered by nebulizer every 20 min to a max of 3 doses

43
Q

Terbutaline Sulfate (Breathine) Adult/Pediatric Doses

A

Adult Dose: 0.25 mg sub-q, may repeat in 15-30 min. Max dose 0.5 mg in a 4 hour period
Pediatric Dose: not recommended for children under 12 yo

44
Q

Recemid Epinephrine Adult/Pediatric Doses

A

Adult Dose: HHN: 0.25-0.75 ml of 2.25% racemic epinephrine solution diluted in 3 ml NS every 1-4 hours
Pediatric Dose: 0.25-0.75 ml of 2.25% racemic epinephrine solution diluted in 3 ml NS every 1-4 hours

45
Q

Epinephrine (Adrenalin) Adult/Pediatric Dose

A

Adult Dose: Cardiac Arrest: 1 mg (1:10,000) IV/IO push of 2 mg (1:1,000) ET 3-5 min. Asthma/Allergic reaction: 0.3 mg-0.5 mg (1:1,000) SQ every 20 min x2
Pediatric Dose 1: Cardiac arrest: 0.01 mg/kg (1:10,000) IV/IO push or 0.1 mg/kg (1:1,000) ET. 0.01 mg/kg IV/IO/ET every 3-5 min SQ dose may switch to a 1:1,000 concentration
Pediatric Dose 2: Althma/Allergic reaction: 0.01 mg/kg (1:1,000) SQ/IM to a max single dose of 0.3 mg every 20 min x2. Anaphylaxis with shock: 0.01 mg/kg (1:10,000) slow IV/IO (over 1 min) to a max single dose of 0.1 mg every 3-5 min
Pediatric Dose 3: bradydysrhythmia: (less than 60 hr for neonate/infant or less than 60 HR for child with poor perfusion) Neonate/Infant 0.01 mg/kg (1:10,000) IV/IO or 0.1 mg/kg (1:1,000) Et 0.1 mg/kg IV/IO/ET every 3-5 min
Pediatric dose 4: Bradydysrhythmia: (Less than 60 Hr for neonate/infant or less than 60 HR for child with poor perfusion). Child 0.01 mg/kg (1:10,000) IV/IO or 0.1 mg/kg (1:1,000) ET if no response, consider atropine

46
Q

Norepinephrine Bitartrate (Levophed) Adult/Pediatric Doses

A

Adult Dose: 0.1-0.5 mcg/kg per min (in 70 kg adult, 7-35 mcg/min)
Pediatric Dose: begin at 0.1-2 mcg/kg per min IV infusion, adjust rate to acheive desired change in Bp and systolic perfusion

47
Q

Diphenhydramine (Benadryl) Adult/Pediatric Doses

A

Adult Dose: 25-50 mg IM, IV, PO

Pediatric Dose: 1-2 mg/kg IV, IO slowly, or IM. If PO: 5 mg/kg preday

48
Q

Oxytocin (Pitocin) Adult/Pediatric Doses

A

Adult Dose: IM administration: 10 units IM following delivery of placenta. IV administration: mix 10-40 units in 1,000 ml non hydrating diluent, infused at 20-40 milliunits/min. Titrated to severity of bleeding and uterine response
Pediatric Dose: Not applicable

49
Q

Midazolam Hydrochloride (Versed) Adult/Pediatric Doses

A

Adult Dose: Seizures: 0.2 mg/kg IM or IN, max dose is 10 mg: 0.1 mg/kg IV, max dose is 4 mg. Procedural sedation: 0.5-2.5 mg IV. May be repeated to total max: 0.1 mg/kg. Chemical restraint: 5 mg IV or IN: 5 mg IM
Pediatric Dose: Seizures: 0.1-0.3 mg/kg IV/IM (max single dose: 10 mg), 0.2 mg/kg IN. Procedural sedation: 0.05-0.1 mg/kg IV: 0.1-0.15 mg/kg IM: 0.3 mg/kg IN

50
Q

Lorazepam (Ativan) Adult/Pediatric Doses

A

Adult Dose: Anxiety/sedation: 2 mg IV: 4 mg IV. Seizures: 0.1 mg/kg IV, max dose of 4 mg
Pediatric Dose: 0.05 mg/kg IV or IM

51
Q

Diazepam (Valium) Adult/Pediatric Doses

A

Adult Dose: Seizure activity: 5 mg IV over 5 min or 10 mg IM. Anxiety: 2-10 mg IM/IV. Premedication for cardioversion: 5-15 mg IV over 5-10 min prior to cardioversion
Pediatric Dose: Seizure activity: 0.05-0.1 mg/kg slow IV or 0.1-2 mg/kg IM

52
Q

Flumazenil (Romazicon) Adult/Pediatric Doses

A

Adult Dose: First dose: 0.2 mg IV/IO over 15 seconds. Second dose: 0.3 mg may be given over 30 seconds: if no response, give third dose. Third dose: 0.5 mg IV/IO over 30 seconds: if no response repeat once every minute until adequate response or total of 3 mg is given
Pediatric Dose: Not recommended

53
Q

Propofol (Diprevan) Adult/Pediatric Dose

A

Adult Dose: Indication dose: 1.5-3 mg/kg IV/IO. Maintenance infusion: 25-75 mcg/kg per min IV/IO
Pediatric Dose: Indication dose: 2.5-3.5 mg/kg IV/IO. Maintenance infusion: 125/300 mcg/kg per min IV/IO

54
Q

Prochlorperazine (Compazine) Adult/Pediatric Doses

A

Adult Dose: 5-10 mg IV/IM/PO

Pediatric Dose: Over age 2 or greater than 9 kg: 0.1 mg/kg slow IV or keep IM: max dose 10 mg

55
Q

Dextrose Adult/Pediatric Doses

A

Adult Dose: 25 g slow IV push 50% dextrose (D50), or infuse 10% dextrose (250ml). May be repeated as necessary.
Pediatric Dose: 1 year and older: 0.5-1 g/kg or 25% dextrose (D25) slow IV/IO push. May b repeated as necessary. Neonates and infants: 200-500 mg/kg slow IV push. May be repeated as necessary. May concentration of 12.5%

56
Q

Glucagon (Glucagen) Adult/Pediatric Doses

A

Adult Dose: Hypoglycemia: 1 mg IM/IN, may repeat in 7-10 min. Calcium channel blocker or beta-blocker overdose: 3-10 mg IV slowly over 3-5 min initially, followed by a 3-5 mg/h infusion as necessary
Pediatric Dose: hypoglycemia: 1 mg IM/IN if 20 kg or greater, 0.5 mg IM/IN if 20 kg or younger than 5 yo. Calcium channel blocker or beta blocker toxicity: 0.05-0.15 mg/kg IV.IO over 3-5 min initially, followed by a 0.05-0.1 mg/kg per hour infusion as necessary

57
Q

Insulin Adult/Pediatric Doses

A

Adult/Pediatric Dose: Dosages vary widely depending on patients blood glucose level and the indication

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