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Get **not For Use In Stroke** - Fhshealth

T height (specify inches or centimeters) and patient weight (record weight in kilograms) Patient height: cm Patient weight: kg ALLERGIES: (1 kg 2.2 pounds) Please circle source of measurements: 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. ACTUAL ESTIMATED STATED (weighed patient) (RN/MD estimate) (patient report) Bolus: (identify indication) DO NOT WAIT FOR BASELINE LAB RESULTS Pulmonary embolism or DVT 80 units/kg Other indications (ACS, cardiac) 70 units/kg (maximum bolus.

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