Get the free human kit PROLASTIN-C (alpha-1-proteinase inhibitor

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Patient Name: DOB: Date of Last Infusion Insurance:Clinic Location: Merrimack, NH Concord, NH Alpha1Proteinase Inhibitor (Prolactin) Infusion Orders Diagnosis (please provide ICD10 code in space provided):

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How to fill out human kit prolastin-c alpha-1-proteinase

01

Ensure the kit is stored at room temperature before use.

02

Wash your hands thoroughly before handling the kit.

03

Follow the instructions provided in the kit on how to prepare and administer the medication.

04

Clean the injection site with an alcohol swab before administering the medication.

05

Use the provided needles and syringes to draw up the appropriate dose as instructed.

06

Administer the medication as directed by your healthcare provider.

07

Dispose of any used needles and syringes properly.

Who needs human kit prolastin-c alpha-1-proteinase?

01

Individuals with Alpha-1 Proteinase Inhibitor Deficiency (Alpha-1 Antitrypsin Deficiency) may need human kit prolastin-c alpha-1-proteinase.

02

This condition can lead to lung and liver disease, and the medication helps replace the missing or deficient protein in the body.

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What is human kit prolastin-c alpha-1-proteinase?

Human kit prolastin-c alpha-1-proteinase is a medication used to treat alpha-1 antitrypsin deficiency.

Who is required to file human kit prolastin-c alpha-1-proteinase?

Medical professionals or healthcare providers are required to file human kit prolastin-c alpha-1-proteinase.

How to fill out human kit prolastin-c alpha-1-proteinase?

Human kit prolastin-c alpha-1-proteinase should be administered according to the instructions given by a healthcare provider.

What is the purpose of human kit prolastin-c alpha-1-proteinase?

The purpose of human kit prolastin-c alpha-1-proteinase is to increase the levels of alpha-1 proteinase inhibitor in the body.

What information must be reported on human kit prolastin-c alpha-1-proteinase?

Information such as dosage, administration details, and patient reactions must be reported on human kit prolastin-c alpha-1-proteinase.

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