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  • Patient Injection Record: Adult Spasticity

Get Patient Injection Record: Adult Spasticity

PATIENT INJECTION RECORD: ADULT SPASTICITY Patient: Chart #: Date: Time: Complete the () Injection Tracker below. For each muscle, indicate the dose used and the specific sites of injection. Injection.

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How to fill out the PATIENT INJECTION RECORD: ADULT SPASTICITY online

This guide provides clear and supportive instructions for successfully completing the Patient Injection Record for Adult Spasticity. Follow these steps to ensure accurate documentation of ® injections for your patients.

Follow the steps to complete the form accurately and efficiently.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred electronic editor.
  2. Begin filling in the patient’s information: Write the patient's name and chart number in the designated fields. Ensure accuracy to avoid discrepancies.
  3. Record the date and time of the injection in the provided fields. This is essential for tracking treatment history.
  4. In the ® Injection Tracker section, enter the total dose administered in units. Ensure it complies with the dosing guidelines (typically between 500 to 1,500 units depending on the treatment).
  5. For each muscle area injected, input the specific units used in their respective fields. Consult relevant dosing guidelines to avoid errors.
  6. If EMG guidance was performed, mark 'Yes' and provide details if any other method was used.
  7. Complete the tracking and billing section by noting the injected units and any wastage. Calculate the billable units based on your total dose.
  8. Finally, review the completed document for accuracy. Once confirmed, save changes, and then download, print, or share the form as needed.

Complete your Patient Injection Records online efficiently today.

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works by blocking the chemical signal between nerves and muscles that makes the muscle contract or tighten. This provides reliable relief from spasticity symptoms including pain and muscle stiffness. It has been used safely in thousands of patients for over 25 years.

is given as an intramuscular injection (a shot that goes into your muscle). The injections are given during an outpatient visit, which will probably last about 30 minutes to 45 minutes.

It is administered (given) by injection into some of the affected muscles. This blocks the communication between the nerves and muscle, which leads to a temporary weakness and relaxation of that muscle.

The most frequently injected upper-limb muscles were flexor carpi radialis (64.0% of patients), flexor carpi ulnaris (59.1%), flexor digitorum superficialis (57.2%), flexor digitorum profundus (52.5%), and biceps brachii (38.8%).

The clinical effects of BoNT do not manifest until several days following an injection, and reach its peak effect around 3~4 weeks. The clinical effects last about three months [19,20]. Usually, patients require repeated BoNT injections every 3~4 months [18,21].

Intradermal injection injections are usually performed in a medical office. Your health care provider uses a thin needle to inject tiny amounts of into your skin or muscles.

The injection will be mixed with saline and then traced with EMG-guidance to provide an accurate injection site. Once traced, the will be injected into the areas needed for pain relief in the upper limb muscles.

Upper Limb Muscles The most common muscles injected are the biceps brachii for elbow flexor spasticity, pronator teres for pronated forearm, flexor carpi radialis and flexor carpi ulnaris for wrist flexion spasticity, and adductor pollicis for the thumb.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232