Date

(e.g., pressors, dilators, medication for pulmonary edema) D27. IV Anti-coagulants. D28. IV Chemotherapy. D29. Indwelling Bowel Catheter Management System. D30. Other Major Treatments. D30c. Specify _____ III. Current Medical Information (cont.) E. Medications List all current medications for the patient during the 2-day assessment period. ................
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