Dentistry On 66
Conscious Sedation (Oral med)
Medical HX updated, no contraindications to having Midazolam 0.5mg/Kg sedation.
do66 conscious sedation
Weight Of Patient (Kg)
Patient ASA Clarification:
Patient has complied with the minimum fasting duration prior to the appt
yes
no
Pre tx vitals:
Pulse
BP:
O2 Saturation:
Respiration:
In treatment vitals (every 15 mins)
post TX vitals:
Pulse:
BP:
O2 Saturation:
Respiration
Patient was orientated and conscious before discharging. Patient was ambulatory and vital signs were stable. RM #6 AGP FOLLOW TIME FOLLOWED
PT LEFT AT
I have read and understood the above mentioned information clearly. I voluntarily choose to undergo treatment with Dr Ziad Al Alazawi and give consent to conducting all necessary procedures that has been explained to me for the replacement of my missing teeth.
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