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Pre-anesthetic State: Calm. FORM 517 (7-95) Prescribed by GSA/ICMR, PRE-ANESTHESIA EVALUATION. SIGNS AGE SEX HEIGHT WEIGHT OM. PROPOSED PROCEDURE PREVIOUS
Have you ever had problems with anesthesia or surgery? (Check all that apply). Yes. No. Severe Nausea or Vomiting. Malignant Hyperthermia (in family who areRead more