Rx for Supplies

Rx Text

 

Rx for initial Glucometer and Supplies ONLY:

Blood Glucose Meter
Test Strips # 100
Lancets # 100
Alcohol Swabs # 100
Instruct patient regarding use of glucose meter (FBS & 1 hr PP) and log.

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Rx for initial Insulin and Supplies:

Blood Glucose Meter
Test Strips # 100
Lancets # 100
Alcohol Swabs # 100
Insulin Syringes # 100
Humulin N, 1 Vial, 20 U in AM/10 U in PM S/Q
Humulin R, 1 vial, 10 U in Am/10 U in PM S/Q
Instruct patient regarding use of glucose meter (FBS & 1 hr PP), log and Insulin injections.

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Rx for initial Insulin ONLY:

Humulin N, 1 Vial, 20 U in AM/10 U in PM S/Q
Humulin R, 1 vial, 10 U in Am/10 U in PM S/Q

Instruct patient regarding use of glucose meter (FBS & 1 hr PP), 
log and Insulin injections.

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Rx for Wound Care Supplies:

3% Hydrogen Peroxide, 16 OZ Bottle
Sterile Cotton Swabs # 100
1/4 inch Iodoform Packing Strip, 1 bottle
Sterile Gauze Pads 4X4 inch # 100
2 inch Tape 4 Rolls
Normal Saline 500 ML
Use as directed.

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Rx for Vaccine

Tdap (tetanus, diphtheria, pertussis [whooping cough]) during 3rd trimester, 0.5 mL IM x 1

Inactivated Influenza, 0.5 mL IM x 1

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Prenatal Vitamins

Prenatal Vitamins, 1 Tablet QD #90, 3 REFILLS
Folic Acid 1 MG Tablet, QD #90, 3 REFILLS
Ferrous Sulfate 325 MG Tablet, 1 Tablet QD #90, 3REFILLS
Vitamin B-6. 25 MG Tablet #60, 1 Twice a Day PRN Nausea Vomiting of Pregnancy, 3 Refills

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