A Thai male, 39 years old, good consciousness , normal nutrition stage, weakness, no jaundice, no dyspnea , no edema, Tan skin, no cyanosis, all good hygiene. On heparin lock Vital signs; Body Temperature =36.4 ๐C, Pulse Rates =78 b/min, Respiration rate =21 b/min, Blood Pressure =120 /78 mm.Hg, Weight = 58 k.g., Height = 168 c.m. BMI 20.5 Kg/m2 Motor power = both armgrade IV, Both leg grade IV