Three month report for John Demo
Date created: March 17, 2009  
Start Month: January 2009
End Month: March 2009
Weight: 43 lbs. (as of February 12, 2009)
Birth date: November 03, 2003
Current Medications:
Keppra 9.00 mL Daily
Other 10.00 mg Daily
January, 2009
Week 1 9
Week 2 6
Week 3 7
Week 4 3
Total: 25
February, 2009
Week 1 4
Week 2 2
Week 3 2
Week 4 3
Total: 11
March, 2009
Week 1 3
Week 2 5
Week 3 5
Week 4 9
Total: 22
 
Chart.
 
Flagged Seizures:
Date: Mar. 02, 2009
Time: 2:00 pm
Flagged
Length: 3min. 15sec.
Mood: Normal
OTCM:
Type: Tonic Clonic
Possible Triggers: Changes in Medication (including late or missed); Overtired or irregular sleep; Emotional Stress;
Notes:
Description: Loss of ability to communicate; Muscle stiffness in whole body; Muscle twitch in whole body;
Notes:
Post Event: Unable to communicate; Muscle weakness; Sleepy;
Notes:
 
Date: Mar. 11, 2009
Time: 3:00 pm
Flagged
Length: 3min. 20sec.
Mood: Bad
OTCM:
Type: Tonic Clonic
Possible Triggers: Changes in Medication (including late or missed); Hormonal fluctuations;
Notes:
Description: Loss of ability to communicate; Muscle stiffness in whole body; Muscle twitch in whole body;
Notes:
Post Event: Unable to communicate; Muscle weakness; Sleepy;
Notes:
 
Date: Mar. 25, 2009
Time: 4:00 pm
Flagged
Length: 3min. 15sec.
Mood: Bad
OTCM:
Type: Tonic Clonic
Possible Triggers: Changes in Medication (including late or missed); Hormonal fluctuations;
Notes:
Description: Loss of ability to communicate; Muscle stiffness in whole body; Muscle twitch in whole body;
Notes:
Post Event: Unable to communicate; Muscle weakness; Sleepy;
Notes:
 
Medication schedule for report period:
 Medication: Dose: Start Date: End Date:
   Other
7.00mL 2009 January 12 2009 January 18
8.00mL 2009 January 19 2009 January 25
9.00mL 2009 January 26 2009 February 01
10.00mL 2009 February 02 Active
Notes:  5mL @ 8am / 5mL @ 8pm
   Keppra
9.00mL 2008 October 21 Active
Notes:  4.5 at 8am/ 4.5 at 8pm
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