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Nephrology
This form is only available in Dutch.
Parameters for dialysis treatment
Type of artificial kidney
Dialysate composition
Anticoagulants
If Heparin, also enter initial and continual doses
Vascular access: (one or both; alternatively, select ‘not applicable’)
Medication received during dialysis
Blood-borne infection serological results (max. 1 month old)
Result + date
Other results
Bestanden moeten kleiner zijn dan 2 MB. Toegestane bestandstypen: gif jpg jpeg png pdf doc docx xls xlsx xml.
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