Lyme disease is diagnosed clinically based on symptoms, objective physical findings (such as EM, facial palsy, or arthritis), or a history of possible exposure to infected ticks, as well as serological blood tests. The EM rash is not always a bull's eye, i.e., it can be solid red.
Rule of Thumb for Changing Filters. The rule we have followed for 18 years in the filtration industry is to change filters every 6 to 12 months. Six months is almost always optimum, especially in commercial/office settings, and twelve months is as long as you want to go no matter what.
6. All tubing will be changed every 72 hours except: a. Lipid tubing will be changed every 24 hours b. If lipids are IVPB into TPN, also change TPN tubing every 24 hours c. Change 3 in 1 TPN (TPN with lipids mixed in) every 24 hours 7. Leur loc connection must be used. Primary solutions must be administered via a volume control pump (i.e. Hospira pump). 8.