CHUS |
NOM, PRÉNOM (À LA NAISSANCE) LACOMBE, Serge |
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CENTRE HOSPITALIER UNIVERSITAIRE DE SHERBROOKE |
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ADRESSE |
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DATE DE NAISSANCE 20-06-1957 |
PÈRE OU MÈRE RENALD |
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HOSPITALISATION Du .13.–02-1995 au 12-04-1995
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MÉDECIN..RESPONSABLE |
NO DU DOSSIER398 068 |
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12/02/1995 .01:35. IL ÉTAIT VERS 22:00 |
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? ! ? MG |
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13/02/1995 vers 17:45
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? ! ? MG |
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10MG HALDOL
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LÉGENDE |
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INJECTÉ ET REÇU |
ç |
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FAUX. |
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11/02/1995 |
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12/02/1995 |
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13/02/1995 |
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SANS DROGUES |
17:45 |
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17:45 |
þ |
? Mg |
INCONNU IM |
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22:00 |
þ |
? Mg |
INCONNU IM |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
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DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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14/02/1995 |
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15/02/1995 |
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16/02/1995 |
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04:00 |
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04:00 |
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04:00 |
ý |
30ml |
SIROP TOUX |
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07:00 |
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07:00 |
þ |
1mg |
RIVOTRIL |
07:00 |
ý |
1mg |
RIVOTRIL |
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09:30 |
þ |
10mg |
HALDOL |
09:30 |
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09:30 |
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15:00 |
þ |
1mg |
RIVOTRIL |
15:00 |
þ |
1mg |
RIVOTRIL |
15:00 |
ý |
1mg |
RIVOTRIL |
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22:00 |
þ |
30mg |
DALMANE |
22:00 |
þ |
30mg |
DALMANE |
22:00 |
ý |
30mg |
DALMANE |
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þ |
10mg |
HALDOL |
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þ |
10mg |
HALDOL |
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ý |
10mg |
HALDOL |
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þ |
1mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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ý |
1mg |
RIVOTRIL |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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17/02/1995 |
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18/02/1995 |
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19/02/1995 |
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03:25 |
þ |
10ml |
BALMINIL |
03:25 |
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03:25 |
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þ |
5mg |
HALDOL |
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07:00 |
ý |
300mg |
LITHIUM |
07:00 |
ý |
300mg |
LITHIUM |
07:00 |
ý |
300mg |
LITHIUM |
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ý |
1mg |
RIVOTRIL |
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ý |
1mg |
RIVOTRIL |
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ý |
1mg |
RIVOTRIL |
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10:30 |
þ |
10mg |
HALDOL IM |
10:30 |
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10:30 |
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þ |
2mg |
ATIVAN IM |
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11:45 |
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11:45 |
þ |
300mg |
LITHIUM |
11:45 |
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þ |
1mg |
RIVOTRIL |
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15:00 |
ý |
300mg |
LITHIUM |
15:00 |
þ |
1mg |
RIVOTRIL |
15:00 |
þ |
1mg |
RIVOTRIL |
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ý |
1mg |
RIVOTRIL |
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20:00 |
ý |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
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22:00 |
ý |
30mg |
DALMANE |
22:00 |
ý |
30mg |
DALMANE |
22:00 |
þ |
10mg |
HALDOL |
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ý |
10mg |
HALDOL |
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þ |
10mg |
HALDOL |
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þ |
1mg |
RIVOTRIL |
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ý |
1mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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20/02/1995 |
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21/02/1995 |
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22/02/1995 |
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07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
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þ |
1mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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15:00 |
þ |
1mg |
RIVOTRIL |
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
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þ |
1mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
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22:00 |
þ |
30mg |
DALMANE |
22:00 |
þ |
30mg |
DALMANE |
22:00 |
þ |
10mg |
HALDOL |
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þ |
10mg |
HALDOL |
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þ |
10mg |
HALDOL |
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þ |
.5mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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þ |
1mg |
RIVOTRIL |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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23/02/1995 |
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24/02/1995 |
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25/02/1995 |
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01:40 |
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01:40 |
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01:40 |
þ |
2mg |
ATIVAN IM |
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01:40 |
þ |
2mg |
COGENTIN IM |
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07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
COGENTIN |
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15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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17:00 |
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17:00 |
þ |
.5mg |
COGENTIN |
17:00 |
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20:00 |
ý |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
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22:00 |
ý |
7.5mg |
HALDOL |
22:00 |
þ |
5.0mg |
HALDOL |
22:00 |
þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
COGENTIN |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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26/02/1995 |
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27/02/1995 |
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28/02/1995 |
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02:00 |
þ |
30mg |
DALMANE IM |
02:00 |
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02:00 |
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07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
07:00 |
þ |
300mg |
LITHIUM |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
COGENTIN |
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þ |
.5mg |
COGENTIN |
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þ |
.5mg |
COGENTIN |
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15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
20:00 |
þ |
300mg |
LITHIUM |
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22:00 |
þ |
5.0mg |
HALDOL |
22:00 |
þ |
5.0mg |
HALDOL |
22:00 |
þ |
7.5mg |
HALDOL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
RIVOTRIL |
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þ |
.5mg |
COGENTIN |
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þ |
.5mg |
COGENTIN |
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LÉGENDE |
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þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
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ý = DEMANDÉ ET REFUSÉ |
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01/03/1995 |
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02/03/1995 |
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03/03/1995 |
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|
|
|
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
.5mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
22:00 |
þ |
7.5mg |
HALDOL |
22:00 |
þ |
10.0mg |
HALDOL |
22:00 |
þ |
10.0mg |
HALDOL |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LÉGENDE |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
|
||||||||
|
|
|
|
|
|
|
||||||||
|
|
|
ý = DEMANDÉ ET REFUSÉ |
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
04/03/1995 |
|
05/03/1995 |
|
06/03/1995 |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
þ |
300mg |
LITHIUM |
15:00 |
|
|
|
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
22:00 |
þ |
10.0mg |
HALDOL |
22:00 |
þ |
10.0mg |
HALDOL |
22:00 |
þ |
10.0mg |
HALDOL |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LÉGENDE |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
|
||||||||
|
|
|
|
|
|
|
||||||||
|
|
|
ý = DEMANDÉ ET REFUSÉ |
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
07/03/1995 |
|
08/03/1995 |
|
09/03/1995 |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15:00 |
þ |
600mg |
LITHIUM |
15:00 |
þ |
600mg |
LITHIUM |
15:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
22:00 |
þ |
10.0mg |
HALDOL |
22:00 |
þ |
12.5mg |
HALDOL |
22:00 |
þ |
12.5mg |
HALDOL |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LÉGENDE |
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
þ
= FORCÉ SANS CONSENTEMENT |
þ=
DONNÉ |
ý = OFFERT ET REFUSÉ |
|
||||||||
|
|
|
|
|
|
|
||||||||
|
|
|
ý = DEMANDÉ ET REFUSÉ |
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
10/03/1995 |
|
11/03/1995 |
|
12/03/1995 |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
07:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
þ |
1.0mg |
COGENTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15:00 |
þ |
450mg |
LITHIUM |
15:00 |
þ |
450mg |
LITHIUM |
15:00 |
þ |
450mg |
LITHIUM |
|
|
|
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
þ |
.5mg |
RIVOTRIL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
20:00 |
þ |
600mg |
LITHIUM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
22:00 |
þ |
12.5mg |
|||||||||||