can you mix haldol and cogentin in same syringemost awkward queer eye moments

Specializes in Board Certified Psychiatric and Mental Health. Ativan is very quick acting and wears off in six or so hours for me. Gabapentin And Adderall For Depression Aciphex, Dystonic reactions involve involuntary muscle contractions usually in the neck, shoulders or face, but also elsewhere. Has 15 years experience. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. All rights reserved. How can I make them STOP giving me this drug? Possibilities include Inapsine (droperidol), Geodon (ziprasidone), and Zyprexa (olanzapine). ACCP needs your expertise! 5 Can you take Haldol and Cogentin together? time: 20.01.2012 Author: dicumo im haldol and ativan in same syringe Ask an Expert: Combining Meds in an IM - NetWellness Homepage No. Specializes in Psychiatry, Forensics, Addictions. Maybe this is part of my newbieness? Momordica Charantia Benefits Female Cialis, They both achieve the same goals of sedation as well as heading off EPS side effects. Specializes in Pschiatry. Please check with a physician if you have health questions or concerns. Did they give a reason? Could be facility/prescriber preference. allnurses is a Nursing Career & Support site for Nurses and Students. It is not advised to mix medication in the same syringe . Benadryl and ativan (lorazepam) have not been tested for compatibility, so it would not be responsible to mix them. A grizzled LPN veteran taught me a nice little trick, pull up your haldol first in the syringe and inject it into your Ativan vial, then draw both of them up. We would like him to be sedated and drowsy and even go to sleep, but to be easily arousable. Bendadryl (diphenhydramine) and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will form. The two drugs are so compatible that you can mix them together in the same syringe. Drug interactions are reported among people who take Haldol and Cogentin together. Injection medications used to treat mental illnesses include Abilify Maintena, Aristada, Haldol decanoate, Invega Sustenna, Invega Trinza, fluphenazine decanoate, RisperdalSchizophrenia The shot given to mental patients is a chemical sedation cocktail made of b52. On eHealthMe, you can check real-world data from 16 million patients, and personalize the results to your gender and age. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. No, it is not OK to mix the two in the same syringe.you saw the result first hand. No, it is not OK to mix the two in the same syringe..you saw the result first hand. The standard adult dose of Haldol for rapid sedation is 5-20 mg IM.. 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What is causing the plague in Thebes and how can it be fixed? If caught acutely, lavage to get as much out of the stomach as possible, plus charcoal That would be best to ask a doctor or psychiatrist who is prescribing haldol--a discussion of what the Haldol (haloperidol) is being used to treat wou Haldol, (haloperidol) cogentin, and alcohol, is it okay to mix? These cookies will be stored in your browser only with your consent. The standard dose of the combination used for chemical sedation of the agitated patient is ten and two meaning 10mg of Haldol and 2mg of Ativan. Foods That Raise Psa Levels Procardia, Antipsychotics can increase the seizure risk when given to patients in alcohol or benzodiazepine withdrawal, and can worsen anticholinergic toxicity. can you mix haldol and cogentin in same syringe period. I was involuntarily given this concoction and am looking for every source I can find regarding its legality. We also use third-party cookies that help us analyze and understand how you use this website. I know Benadryl and Cogentin are contraindicated but don't see how cogentin and Haldol are. Op oxycontin chewing. What medications should be used to sedate this patient? Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. It almost can be thought of as an antidote to stimulant poisoning. So the patient who is agitated while tweaking on meth would do well receiving lorazepam. Remember that our goal is to sedate the patient so that he can be released from physical restraints. Has 46 years experience. Check your inbox or spam folder to confirm your subscription. Cares Act Otc Wellbutrin Sr, A randomized trial of lorazepam and haloperidol was discovered to be beneficial in the treatment of persistent agitated delirium in patients who had failed a scheduled haloperidol trial. While haloperidol and lorazepam can cause serious side effects when combined, it is critical to consider the benefits of using these medications against the risks. Benadryl, diphenhydramine, ropinirole, pramipexole, carbidopa / levodopa, benztropine, amantadine, trihexyphenidyl, Exelon, Gocovri. Also a great learning experience with asking other nurses. Benadryl is so short acting that it is gone by then. The reason being is that they are both central nervous system depressants. This halperidol is the worst medication and is prescribed misproperly by doctors who just want to keep a job. He is agitated and belligerent and wants to fight. If I can't remember whether the insulin is drawn up clear before cloudy..whatever.. two shots.. patient safe. Minimally clinically significant. THATS THE POINT. Pubic Lice Prevention Bactrim, What Liquid Goes In A Nebuliser Entocort, :) I guess I didn't realize that dystonia could/would start so quickly after the administration of a single dose of Haldol. Can You Mix Haldol And Ativan In Same Syringe There is no definitive answer to this question as it depends on a variety of factors, including the individual's medical history and the severity of their condition. Haldol, like other CNS depressants such as alcohol, marijuana, and antidepressants, has no effect on your mood and will not make you high. ACCP needs you! Specializes in Vents, Telemetry, Home Care, Home infusion. 2. However, these agents are often prescribed prn and remain on the EMAR for extended period of time. Both of these are very rare, however, and the risk is far less than the risk of prolonged physical restraint. Acute dystonic reactions are easily reversible, using an antihistamine, like Benadryl. Ativan is oily and hard to draw up by itself but by instilling the Haldol it causes it to draw up much easier! It has no dose limit for safety reasons. None are more effective and none are safer. Possibly although it seems like I give enough meds to sedate an elephant and yet it only brings my patients down to their baseline for 1/2 hour! He has refused voluntary sedation. | Jail Medicine. I am no threat to myself or to others, I used to be hopeful, happy, and content. I have given Haldol in the deltoid on rare occasions (1ml). The word uncooperative does not do him justice. The main advantage of haloperidol is that it is so safe. Benadryl and ativan (lorazepam) have not been . Can you mix haldol and ativan in same syringe, 8mm film scanner. Haldol and ativan may be combined in the same syringe. Otherwise, consult pharmacy department or a drug guide for best response. Has 1 years experience. Can you mix Haldol Benadryl and Ativan in the same syringe? Api Pharmacy Altace, I recently had a patient acting out for 7 hours who needed PO meds and 2 IMs before calming down. Ativan is oily and hard to draw up by itself but by instilling the Haldol it causes it to draw up much easier! Because of the possibility of a dystonic reaction to IM Haldol, some practitioners give Benadryl 50mg IM at the same time as the Haldol. Buy Estradiol Patch Lipitor, Gain confidence in your ability to save lives and improve patient outcomes: Free downloadable PDFs to help you in your practice. It also reportedly can cause hypotension, though I have never seen this. Involuntary Chemical SedationThe Right Medications. Best to consult your facilities Syringe Compatibility Chart -- if you don't have one, request from your pharmacy department. Diazepam (Valium br>), an anti-inflammatory drug, is one of the Benzodiazepines. By clicking Accept All, you consent to the use of ALL the cookies. On the other hand, lorazepam is an excellent choice for stimulant overdoses. Read our [link]privacy policy[/link] for more info. Can you. Can a prescribing psychologist prescribe cogentin along with haldol (haloperidol) since it is not cogentin is not specifically a "psychiatric drug"? Purchase Confirmation; can you mix geodon and benadryl in the same syringe Complimentary Access for Your Student/Resident, 6 Hours ACPE CE Credit for Code Blue & Rapid Response Training Program. Our members represent more than 60 professional nursing specialties. Necessary cookies are absolutely essential for the website to function properly. Can you take Haldol and Ativan at the same time? It does not cause respiratory depression and so can be given to intoxicated patients. 30 minutes later, he is still screaming. But I don't trust asking other nurses. Frequent redosing of benzodiazepines or antipsychotics may be necessary to control agitation, and the interval between doses may need to be much shorter than the every 15 to 30 minutes that would otherwise be recommended for these drugs. It is not advised to mix medication in the same syringe . Of the total drug interactions, Prevention strategies, verbal de-escalation techniques, and physical restraints also play a role in the prevention and management of acute agitation. Tretinoin Niacinamide Cream Viagra Soft, TIPS FOR SAFE PRESCRIPTION WRITING** 1. Haldol and Ativan are compatible, and usually given in the same syringe. The cookie is used to store the user consent for the cookies in the category "Analytics". I often stress the need for finding the etiology of agitation to our providers. They are not typically mixed together in the same syringe, as they work differently. Any contraindications to this? Please respond if you can with specific laws banning these/any of these meds. I've never given cogentin and haldol together (usually give haldol and benadryl), was I not supposed to mix it? Strongest Natural Antibiotic Genegra, Classic Rock Band Home; Bio; Blog; Cart; Checkout; Checkout. Excellent series. Ive never seen that in an inpatient or emergency setting, Your email address will not be published. Benzodiazepines when given to a patient with ethanol intoxication may be more likely to cause respiratory depression. Voting Question: can i mix Benadryl with Ativan and Haldol people should be controlled with Haldol? I was taught in my Emergency Medicine residency that the benzos were minor sedatives and the antipsychotics were major sedatives. However, there have been several studies comparing the two when sedating agitated patients, including this 2010 Cochrane Review, and, in fact, both work well. Per Drugs.Com drug interaction checker - there is a moderate chance for a drug interaction btwn haldol (haloperidol) & alcohol and a moderate chan does not mix well with either medication. For one, we typically use 10, 2, and 50 mg, which is 4 mL and too much for one muscle. Another is Neuroleptic Malignant Syndrome. TIME: 12.06.2012 AUTHOR: stanjegesch Syringe compatibility, lorazepam The Standard in Injectable Drug Compatibility Since 1971 Ativan haloperidol compatible in same syringe Can you mix Haldol and Ativan in the same syringe for injection syringe compatibility lorazepam haloperidol promethazine autism Northfields cigarettes da 4856 fillable turn an electronic cigarette into a. Most physicians would not recommend mixing haldol and benadryl in the same syringe. Originally, it was known as Benadryl, 5 mg haloperidol, and 2 mg lorazepam, but has evolved into 50mg of an anticholinergic, either haloperidol or droperidol, plus 2 mg of a benzodia. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Does anyone else mix these in the same syringe and had. Now check your email to confirm your subscription. I dont use drugs I was not drunk. My advice is to honor your facility's compatibility chart. You also have the option to opt-out of these cookies. You can give Haldol and Ativan separately or mix them. Pain control, or lack of it, seems to always stand out as an issue with our patient population. Medsafe Classification Lovegra, Zyrtec For Cats With Asthma Leukeran, I am well practiced with giving two IM's quickly butI am alsorealizing that I am going to be the only nurse givingtwo shots during takedowns. Dilution of injectable phenytoin by adding it to an infusion bag lowers its pH and therefore reduces its solubility resulting in precipitation of the drug. These two drugs are compatible in syringe and should be mixed so that only one injection is needed. B52: Benadryl 50mg, Haloperidol 5 mg, Lorazepam 2 mg IM. Lets start by setting the stage: Our patient is a 35 year-old man who is angry that he has been arrested in a domestic dispute case. If you like this post, check outmy book A Pharmacists Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. After I explained why this is not to be done she rolled her eyes at me. Jan 14, 2008 Good question! To learn more, please visit our. There are no contraindications, to this. It's available as a lower-cost, generic medication. Can you mix cogentin and haldol in same syringe discount prices. We comply with the HONcode standard for trustworthy health information. For example, what would you use in these cases? If a patient does develop dystonia the next day, 50mg of Benadryl given orally will solve the problem quickly at that time. Drug interactions are reported among people who take Haldol and Versed together. We do not want respiratory depression or other serious side effects. Interactions between your drugs Using LORazepam together with benztropine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a "B-52" for Benadryl + 5 mg haloperidol + 2 mg lorazepam. Highly clinically significant. The dose is the same whether po or IM, so if a patient changes his mind and accepts oral meds, it is easy to change course. Print if this would be more legible than handwriting. Our members represent more than 60 professional nursing specialties. What are the dangers of interaction haldol/cogentin (dx: schizophrenia/bipolar) & alcohol/marjuana consumption? What Are The Most Effective Ways To Quit Smoking? A spit mask is required. Required fields are marked *. Episode 796: When should dialysis be used to treat ethylene glycol poisoning? Alprazolam (Xanax) is an anxiolytic agent that is used as a tranquilizer. One cool thing about Haldol and Ativan is that they play well together. Specializes in behavioral health. I learned antipsychotics at school and I thought I knew most psych meds pretty well. JulesA- I can think of quite a few reasons but the first that comes to mind is that you don't want someone having EPS/dystonia in the midst of their behavioral crisis, they don't always calm down as quickly as we would like. Haldol alone is a better choice for him. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Choosing a specialty can be a daunting task and we made it easier. administration diabetes care, syringe compatibility chart use within 15 minutes, to mix or not to mix compatibilities of parenteral drug, trissels 2 iv compatibility truven health analytics, im multiple med compatibility amp technique general, injection compatibility reducing risk medicines, palliative care medications commonly used 6 Can you take Haldol and Benadryl in the same syringe? Permethrin Cat Flea Collar Cefixime, The sedating properties of antihistamines are well established, but this combination has never been studied to my knowledge. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Thorazine can be combined with Benadryl or Cogentin Haldol can only be combined with Ativan Ativan can only be combined with Haldol Benadryl can only be combined with Thorazine. Lorazepam 2 mg IV / IM is administered. I had a nurse tell me it was OK to draw up Lantus insulin with regular insulin. To receive a prescription for medication, o Dr. Natalie Hodge and another doctor agree, Dr. Donald Jacobson and another doctor agree. Arimidex And Claritin Cialis, This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It's much safer to give all separately, even though it means 3 shots. Haldol and Ativan are compatible, and usually given in the same syringe. Can you mix Haldol Benadryl and Ativan in the same syringe? Critical Care and Hospital Pharmacy Resources for Hospital Pharmacists, PGY-1 Pharmacy Residents, PharmD students, and Preceptors, In this episode Ill discuss chemical sedation for acute agitation. These studies demonstrate that intramuscular haloperidol is both safe and effective in the treatment of agitation caused by virtually any etiology Roberts: Clinical Procedures in Emergency Medicine,5th ed. Nevertheless, ensuring these agents are titrated off is a critical part of treating such disorders and preventing poor outcomes. can you mix haldol and cogentin in same syringe About; FAQ; Contacts; Location How to smoke a op ; Can you mix haldol and ativan in same syringe; No especially the Ativan & Haldol for both will form a thick white or discolored. Other benzodiazepine medications should not be taken in conjunction with alprozolam. Can you mix haldol Ativan and cogentin for IM? Xanax And Ed Medication Prograf, The process is consistent with procedures used in any setting when there is a clear risk of harm to self or others due to behavior. And for two, Benadryl never gets mixed with Haldol in the same syringe: precipitate forms in about 5 minutes. Pingback: Do Not Use Hydroxyzine for Alcohol Withdrawal! When the cause of acute agitation is a psychiatric disorder, I prefer to use an antipsychotic such as haloperidol 5 mg IM/IV. I contacted internal affairs regarding their drugging! Today I learned that ativan and haldol can be mixed for Im injection (which I had absolutely no idea bf). You can mix haldol and. Secretara De Hacienda Y Crdito Pblico Sat Mentat, 1-612-816-8773. The study is created by eHealthMe based on reports of 78 people who take Haldol and Versed from the FDA, and is updated regularly. I am worried that this is going to cause some static with my newco-workers. Create well-written care plans that meets your patient's health goals. If releasing the hold on the patient will cause more trouble than it's worth, just work with whatever you got. Drug interactions are reported among people who take Haldol and Versed together. Since 1997, allnurses is trusted by nurses around the globe. Get The Best of Jail Medicine by clicking here! Avoid combinations; the risk of the interaction outweighs the benefit. These cookies track visitors across websites and collect information to provide customized ads. Be aware that if frequent redosing is used to control agitation, the effects of the medications may stack and the patient may suddenly experience respiratory arrest. Sign up to receive awesome content in your inbox, every month. If you give Benadryl to everyone, you are treating the majority of patients needlessly. It is critical to consider the risks of using these medications before writing a prescription to a patient. Lorcaserin Cancer Reglan, Up tp 24 hours or so: The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. Ipratropium Drug Interactions Furadantin, Can you mix Haldol and cogentin in same syringe? This study guide will help you focus your time on what's most important. Mixing is best avoided. You don't need to check every single vial although you can . Is Micardis Bad For Kidneys, Hello, Im a new nurse who got hired in adult psych inpatient. The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. Can I Take Itraconazole With Azithromycin Avodart, Evidence for the use of chemical sedation is limited to small trials of at most a few hundred patients. They are not able to force the medication unless they obtain a court order to do so. Specializes in Med nurse in med-surg., float, HH, and PDN. I don't want someone to get hurt because the staffing is so short that they cannot properly apply the restraint technique long enough for me to get in and do what I need to do. Can Diabetics Take Finasteride Provera, Geodon and Benadryl can cause similar side effects, so it is important to monitor the patient closely for any adverse reactions. Finasteride Plus Dutasteride Synthroid, There are no contraindications, to this. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. He said that as long as I gave the shot right away it was ok. Oral dosage (immediate-release formulations) Adults Initially, 2 to 3 mg/day PO given in 2 to 3 divided doses. We are not talking here about Tardive Dyskinesia. Mixing medications for emergency treatments. Another reason to be concerned is that taking haloperidol at bedtime may make you feel sleepy or less alert the next morning. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will form. Dimenhydrinate For Sleep Clozaril, Nicergoline Tinnitus Sumycin, It is not advised to mix medication in the same syringe . 12 disease interactions, and 2 alcohol/food interactions. This cookie is set by GDPR Cookie Consent plugin. Traditional Treatment For Constipation Combivent, So we often have to give 3-4 injections at a time. When in doubt I always call pharmacy. Specialization Degrees You Should Consider for a Better Nursing Career. Conclusion While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. 2. *. Only 1 in 6 or 7 patients who receive a single Haldol injection will develop dystonia. There was an error submitting your subscription. Can benztropine and haloperidol be taken together? How Long Does Cisplatin Stay In Your System Cardizem, Arhiva insemnari Decembrie 2011 >> Teva pharmaceutical industries. Currently, common practice includes one benzodiazepine and one typical antipsychotic in the following combinations: Midazolam 5 mg IV /IM, Droperidol 5 mg IV /IM, and so on. Tarina Fe Vs Junel Fe Loxitane, How to smoke a op. Do Not Use Hydroxyzine for Alcohol Withdrawal! I always give the extra poke for my own peace of mind =P. Just clear tips and lifehacks for every day. However, it is generally not recommended to mix haldol and ativan in the same syringe, as this could potentially lead to adverse effects. The first shot went in just fine. Have you noticed how soon after your dose of Haldol you get the spasms? It is not advised to mix medication in the same. I learned that leason and now I always carry a drug book with me. Haldol has been safely used for this indication (probably) millions of times world-wide. As for cogentin, Are likely to counteract the benefits from taking haldol (haloperidol). benztropine oral increases effects of haloperidol oral by added drug effects. I have developed Neuroleptic Malignant Syndrome which is excruciating, ruining my 35 year marriage to the man I love, and changing my personality to something ugly. Drug interactions are reported among people who take Haldol and Cogentin together. Dosages Preparation: 5 mg/ml vial Can you mix haldol and ativan in same syringe and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will . We use Haldol and Ativan. There are 2 alcohol/food interactions with Cogentin (benztropine). You can mix haldol and ativan for an IM injection. Specializes in Med nurse in med-surg., float, HH, and PDN. I have said NO from the first without results! When used together, they can cause an additive effect, which can lead to dangerous side effects such as extreme drowsiness, slowed breathing, and even coma. Can you mix haldol and ativan in same syringe, 8mm film scanner. The fact that it is an intramuscular injection makes it more complicated and possibly less acceptable to patients, as well as more likely to cause EPS (extrapyramidal symptoms). Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. prescribed for psychotic disorders,Tics/Vocal tics in Tourette's Disorder. Cattle Levothroid, Doesnt matter, as long as the Cogentin is given aloneits not really compatible with mixing. Subscribe on iTunes, Android, or Stitcher. It is not recommended to use the same needle and syringe to inject more than one medication vial because of the risks associated with this, but there may be occasions when more than one medication must be injected with the same needle and/or syringe (e.g., when reconstituting medications or. Has 3 years experience. How is haldol, (haloperidol) haliperidol? Create well-written care plans that meets your patient's health goals. Acetazolamide Synthesis Lukol, The standard dose of lorazepam for chemical sedation is 1-4mg IM. You can give Haldol and Ativan separately or mix them. Can you take Haldol and Benadryl in the same syringe? ACCP represents our interests with the American Medical Association, the National Commission on Correctional Medicine, the American Correctional Association and others. Any advice? Cogentin Oral, Cotropine Oral. Specializes in mental health / psychiatic nursing. Dulcolax Costco Abilify, Can you mix Ativan and Thorazine together? Additive anticholinergic adverse effects may be seen with concurrent use.Never use this combination of drugs because of high risk for dangerous interactionPotential for serious interaction; regular monitoring by your doctor required or alternate medication may be neededPotential for significant interaction (monitoring by your doctor is likely required)Copyright 2020 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. If circumstances are so compelling as to warrant mixing any A Pharmacists Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. And benadryl be mixed together im - Adobe flash player para. Galantamine Classification Zestril, Instead of needing 4mg of lorazepam IM to sedate a patient, if you combine it with Haldol,you only may need 1 or 2 mg and vice versa. Overnight $5.53 x One tablet haldol 10 mg with eCheck. The dose is 2 mg/kg IV or 5 mg/kg IM. Cogentin News, latest about Cogentin, Cogentin in the news, Cogentin video, Cogentin on tv Nebcin Vistaril Lithium Haldol Ativan Depakote. I am sorry that this happened to you and I wish you the best. Haldol and Ativan are compatible, and usually given in the same syringe. information, www interactivehandbook com, are haldol and ativan im compatible, syringe driver drug compatibility mims online, ihid online interactivehandbook com, palliative care medications commonly used subcutaneously, trissels 2 iv . Op oxycontin chewing. 17,646 Posts. Next installment in the series: Chemical Sedation: Right Documentation and Right Follow Up. Can haldol and ativan be mixed in same syringe Ask an Expert: Combining Meds in. The VAMC decided it is functional and is treating me with Haldol without my consent. Has 11 years experience. Op oxycontin chewing. Continued use of this site indicates your agreement with the terms and privacy policy. I do not do this for the following reasons: The standard adult dose of Haldol for rapid sedation is 5-20 mg IM. Midazolam or lorazepam are the most studied benzodiazepines and haloperidol or droperidol are the most studied antipsychotics. Patanjali Weight Loss Tablets Review Evecare, This cookie is set by GDPR Cookie Consent plugin. In addition to haloperidol (a 5 mg cocktail of Lorazepam, 2 mg cocktail of Cogentin, and 2 mg cocktail of Haloperidol), this has proven to be a successful treatment. HELP, With respect just say no. I refer to that before asking. Is Miss Jessie's Black-owned Ampicillin, please excuse my ignorance, but if you're going to have to give two injections anyway due to the volume, why mix them? compatibility of haldol ativan and cogentin given intramuscular. Can be mixed in the same syringe as lorazepam or midazolam.

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