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Lower is better: Under 5m per cell: Excellent quality pack, good for high-current draws 515m per cell: Average fine for moderate current applications Over 20m per cell: Degraded pack voltage sag under load, reduced performance IR increases as the pack ages, is over-discharged, or is stored full for long periods

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DOSAGE AND ADMINISTRATION: Administer by Intramuscular Injection (IM) only

If sciatic nerve damage occurs, medical attention is necessary to assess the severity of the injury and determine appropriate treatment options

While you should have suspicion for this pathology in any patient presenting with altered mental status on valproic acid, the following factors may place the patient at an increased risk for this complication: Anticonvulsant polytherapy and medication interactions Medications such as topiramate, phenytoin, carbamazepine, and phenobarbital have been associated with increased ammonia levels when used in conjunction with valproic acid Renal failure Hepatic failure Carnitine deficiency: Carnitine assists with the elimination of valproic acid and minimizes the formation of harmful valproic acid metabolites