Oxycodone: Every 4 hours (Last dose: Saturday, March 1 at 8:00 PM)
Tramadol: Every 6 hours (Last dose: Saturday, March 1 at 4:00 PM)
Diazepam: Every 8 hours (Last dose: Saturday, March 1 at 6:00 PM)
Check each box when medication is taken. Times shown are scheduled times for each dose.
| Medication | Saturday, March 1 | Sunday, March 2 | Monday, March 3 | Tuesday, March 4 | Wednesday, March 5 | ||||||||||||||||||||||
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| 8 PM | 10 PM | 12 AM | 2 AM | 4 AM | 8 AM | 10 AM | 12 PM | 2 PM | 4 PM | 6 PM | 8 PM | 10 PM | 12 AM | 2 AM | 4 AM | 8 AM | 10 AM | 12 PM | 2 PM | 4 PM | 6 PM | 8 PM | 10 PM | 12 AM | |||
| Oxycodone (Every 4 hrs) |
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| Tramadol (Every 6 hrs) |
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| Diazepam (Every 8 hrs) |
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