Height (ft’ in Weight (lbs): ‘’): Heart Rate (#/min): Blood Pressure (mmHg): Urine Pregnancy N/A (Male) Negative Positive (inform investigators) ☐ ☐ ☐ Test: Experiment Time Clock Time Procedure(s) Record vitals, height, weight, blood glucose, blood ketones, and Prior to 0:00 N/A UPT results. Apply blood pressure cuff - volunteer must be relaxed, no noise, or chatter Place 20 gauge IV in antecubital fossa of preferred arm. Saline lock IV. EXAMPLE Obtain 10 mL of blood and transfer equally to 2 tubes. Place on ice and saline lock IV. IV Infusion #1 syringe ready. ☐Get 2:30 ENTER BY NURSE Start IV Infusion #1 (13C6-Arg, 2H2-Cit, 15N2-Orn, and 2H5-Phe) at 8 mL/h immediately EXAMPLE ADD COLUMNS Describe ☐ AND ROWS AS NEEDED Prior to Discharge (performed by nursing): Temperature (°F) Blood Pressure (mmHg): Heart Rate Respiratory Rate: (#/min): Heart Rate Blood Pressure (mmHg) (#/min): Appendix V Sample CRC Subject Registration Form
Height (ft’ in ‘’): Weight (lbs): Heart Rate (#/min): Blood Pressure (mmHg): Urine Pregnancy Test: ☐ N/A (Male) ☐ Negative ☐ Positive (inform investigators) Experiment Time Clock Time Procedure(s) EXAMPLE Prior to 0:00 N/A Record vitals, height, weight, blood glucose, blood ketones, and UPT results. Apply blood pressure cuff - volunteer must be relaxed, no noise, or chatter Place 20 gauge IV in antecubital fossa of preferred arm. Saline lock IV. Obtain 10 mL of blood and transfer equally to 2 tubes. Place on ice and saline lock IV. ☐Get IV Infusion #1 syringe ready. EXAMPLE 2:30 ENTER BY NURSE Start IV Infusion #1 (13C6-Arg, 2H2-Cit, 15N2-Orn, and 2H5-Phe) at 8 mL/h immediately ADD COLUMNS AND ROWS AS NEEDED ☐ Describe Prior to Discharge (performed by nursing): Temperature (°F) Blood Pressure (mmHg): Heart Rate (#/min): Respiratory Rate: Heart Rate (#/min): Blood Pressure (mmHg) Appendix V Sample CRC Subject Registration Form
BSLMC_Clinical_Research_Center_Investigators_Manual.docx