This log is also available as text (s02172.txt) and as a (binary) annotation file (s02172.log).
Generated: Monday, 07-Jun-2010 13:20:11 EDT
(All dates below are surrogates.)
t0: [18:15:30 06/02/2014] tf: [20:47:07 09/02/2014] id: a40099 [view]
t0: [18:14:59 06/02/2014] tf: [20:45:59 09/02/2014] id: a40099n [view]
t0: [18:18:44 06/02/2014] tf: [17:20:47 07/02/2014] id: a41894 [view]
t0: [14:22:59 06/02/2014] tf: [17:19:59 07/02/2014] id: a41894n [view]
dd: 515 ds: 3 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78605 ds: 5 ld: SHORTNESS OF BREATH dd: 7862 ds: 4 ld: COUGH dd: 7931 ds: 2 ld: ABN FINDINGS-LUNG FIELD
dd: 4239 ds: 1 ld: PERICARDIAL DISEASE NOS
dd: 515 ds: 4 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: V0382 ds: 3 ld: PROPHYLACTIC STREPT VACC dd: V048 ds: 2 ld: VACCIN FOR INFLUENZA
dd: 515 ds: 3 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78605 ds: 2 ld: SHORTNESS OF BREATH
dd: 515 ds: 1 ld: POSTINFLAM PULM FIBROSIS
dd: 515 ds: 1 ld: POSTINFLAM PULM FIBROSIS
dd: 515 ds: 1 ld: POSTINFLAM PULM FIBROSIS
dd: 515 ds: 2 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78605 ds: 3 ld: SHORTNESS OF BREATH
dd: 515 ds: 2 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 51889 ds: 3 ld: OTHER LUNG DISEASE NEC
dd: 515 ds: 2 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78605 ds: 4 ld: SHORTNESS OF BREATH dd: 7862 ds: 3 ld: COUGH
dd: 4239 ds: 2 ld: PERICARDIAL DISEASE NOS dd: 4254 ds: 1 ld: PRIM CARDIOMYOPATHY NEC
dd: 4111 ds: 1 ld: INTERMED CORONARY SYND dd: 41400 ds: 2 ld: CORNARY ATHERO-VESL NOS dd: 4254 ds: 4 ld: PRIM CARDIOMYOPATHY NEC dd: 4279 ds: 5 ld: CARDIAC DYSRHYTHMIA NOS dd: 4299 ds: 6 ld: HEART DISEASE NOS dd: 78605 ds: 3 ld: SHORTNESS OF BREATH
dd: 4299 ds: 4 ld: HEART DISEASE NOS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78609 ds: 2 ld: RESPIRATORY ABNORM NEC dd: V053 ds: 3 ld: INOCULAT VIRAL HEPATITIS
dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION dd: 78605 ds: 2 ld: SHORTNESS OF BREATH
dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION
dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 4299 ds: 3 ld: HEART DISEASE NOS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS dd: 78609 ds: 4 ld: RESPIRATORY ABNORM NEC
dd: 5162 ds: 6 ld: PULM ALVEOLAR MICROLITH dd: 5163 ds: 4 ld: IDIO FIBROS ALVEOLITIS dd: 78050 ds: 5 ld: SLEEP DISTURBANCE NOS dd: 78321 ds: 3 ld: LOSS OF WEIGHT dd: 78605 ds: 1 ld: SHORTNESS OF BREATH dd: 7990 ds: 2 ld: ASPHYXIA
dd: 515 ds: 2 ld: POSTINFLAM PULM FIBROSIS dd: 5163 ds: 1 ld: IDIO FIBROS ALVEOLITIS
dd: 2720 ds: 7 ld: PURE HYPERCHOLESTEROLEM dd: 4168 ds: 6 ld: CHR PULMON HEART DIS NEC dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 4280 ds: 5 ld: CONGESTIVE HEART FAILURE dd: 486 ds: 2 ld: PNEUMONIA, ORGANISM NOS dd: 515 ds: 1 ld: POSTINFLAM PULM FIBROSIS dd: 515 ds: 2 ld: POSTINFLAM PULM FIBROSIS dd: 51881 ds: 3 ld: RESPIRATORY FAILURE dd: 78650 ds: 1 ld: CHEST PAIN NOS
tf: [15:00:00 10/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 100 u1: mg tf: [00:00:00 18/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 20 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin v1: 81 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Atorvastatin v1: 10 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 100 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Paroxetine HCl v1: 20 u1: mg
tf: [18:00:00 17/10/2014] pt: Unit Dose rt: PO fr: Q24H fs: 16 dn: 1 m1: Levofloxacin v1: 500 u1: mg tf: [08:00:00 21/10/2014] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [08:00:00 21/10/2014] pt: Unit Dose rt: PO fr: QHS:PRN m1: Clonazepam v1: 1 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: 3X/WEEK m1: Sulfameth/Trimethoprim DS v1: 1 u1: TAB tf: [08:00:00 23/10/2014] pt: Unit Dose rt: SC fr: Q8H fs: 16, 0, 8 dn: 3 m1: Heparin v1: 5000 u1: UNIT
tf: [19:00:00 11/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [08:00:00 21/10/2014] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: traZODONE HCl v1: 50 u1: mg tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg
tf: [01:00:00 12/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [08:00:00 12/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [08:00:00 12/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [12:00:00 12/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [12:00:00 13/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [12:00:00 13/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 13 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [18:00:00 13/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [20:00:00 13/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 20 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [20:00:00 14/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [07:00:00 15/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 8 dn: 1 m1: Furosemide v1: 40 u1: mg
tf: [13:00:00 16/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 14 dn: 1 m1: Furosemide v1: 40 u1: mg
tf: [08:00:00 23/10/2014] pt: Unit Dose rt: IH fr: QID:PRN m1: Ipratropium Bromide MDI v1: 2 u1: PUFF
tf: [01:00:00 24/10/2014] pt: Unit Dose rt: NU fr: QID:PRN m1: Sodium Chloride Nasal v1: 1-2 u1: SPRY
tf: [17:42:00 18/10/2014] dt: 1391 cu: MICU de: FA7A
t0: [18:31:00 17/10/2014] id: BSA el: 1033 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Admit Wt el: 1032 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Allergy 1 el: 1020 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Diagnosis/op el: 1023 cu: MICU cg: 1531 v1: INTERSTITIAL PULMONARY FIBROSIS t0: [18:31:00 17/10/2014] id: Service el: 1026 cu: MICU cg: 1531 v1: MED t0: [18:31:00 17/10/2014] id: Admit Ht el: 1034 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Readmission el: 1014 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Marital Status el: 1006 cu: MICU cg: 1531 v1: S t0: [18:31:00 17/10/2014] id: Religion el: 1000 cu: MICU cg: 1531 v1: RCA t0: [18:31:00 17/10/2014] id: Allergy 2 el: 1021 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Ext el: 1010 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: PIN el: 1012 cu: MICU cg: 1531 t0: [18:31:00 17/10/2014] id: Allergy 3 el: 1022 cu: MICU cg: 1531
id: D5W el: 1 cu: MICU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [18:00:00 17/10/2014] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [18:00:00 17/10/2014] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 17/10/2014] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 17/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: House st: NotStopd t0: [18:00:00 17/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 17/10/2014] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 17/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 17/10/2014] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [18:00:00 17/10/2014] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 17/10/2014] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 17/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [18:00:00 17/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [18:00:00 17/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 17/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:00:00 17/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [18:00:00 17/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [18:00:00 17/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 17/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 17/10/2014] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 17/10/2014] id: Pain Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2014] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [18:00:00 17/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [18:00:00 17/10/2014] id: Assistance Device el: 0 cu: MICU cg: RN v1: Independent st: NotStopd t0: [18:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 17/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 17/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 17/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [18:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:00:00 17/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 17/10/2014] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [18:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 17/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [18:00:00 17/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [18:00:00 17/10/2014] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [18:00:00 17/10/2014] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [18:00:00 17/10/2014] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [18:00:00 17/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [18:00:00 17/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [18:00:00 17/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Activity el: 0 cu: MICU cg: RN v1: Walks Occasional st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Mobility el: 0 cu: MICU cg: RN v1: No Limitations st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Adequate st: NotStopd t0: [18:00:00 17/10/2014] id: Braden Score el: 0 cu: MICU cg: RN v1: 20 u1: number st: NotStopd t0: [18:00:00 17/10/2014] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd
t0: [18:00:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [18:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [18:00:00 17/10/2014] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [18:00:00 17/10/2014] id: Daily Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [19:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [19:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [19:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [19:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [19:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [20:00:00 18/10/2014] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 21 dn: 1 m1: Lorazepam v1: 2-4 u1: mg
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 17/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [20:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [21:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [21:00:00 17/10/2014] id: Procedures el: 0 cu: MICU cg: RN v1: Line Placement st: NotStopd t0: [21:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [21:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 67 u1: BPM st: NotStopd t0: [22:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [22:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:15:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:30:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:30:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:30:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 17/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [22:30:00 17/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 30 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [22:30:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:30:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:30:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [22:30:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:30:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [23:00:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 106 u1: BPM st: NotStopd t0: [23:00:00 17/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [23:00:00 17/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [23:00:00 17/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 45 u1: mmHg v2: 3 u2: mmHg st: NotStopd t0: [23:00:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [23:00:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [23:00:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:00:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 82 u1: % st: NotStopd t0: [23:00:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 17/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:15:00 17/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 17/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:15:00 17/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:15:00 17/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 37 u1: mmHg v2: 4 u2: mmHg st: NotStopd t0: [23:15:00 17/10/2014] id: PCWP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:15:00 17/10/2014] id: PVR el: 0 cu: MICU cg: RN v1: 61.0687 u1: ... st: NotStopd t0: [23:15:00 17/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:15:00 17/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [23:15:00 17/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [23:15:00 17/10/2014] id: RCW el: 0 cu: MICU cg: RN v1: 1.42528 u1: kg * m st: NotStopd t0: [23:15:00 17/10/2014] id: RVSW el: 0 cu: MICU cg: RN v1: 18.0608 u1: g * m st: NotStopd t0: [23:15:00 17/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [23:15:00 17/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 17/10/2014] id: Stroke Volume el: 0 cu: MICU cg: RN v1: 82.9114 u1: ml st: NotStopd t0: [23:15:00 17/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [23:15:00 17/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [23:15:00 17/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [23:15:00 17/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 17/10/2014] id: C.O.(thermodilution) el: 0 cu: MICU cg: RN v1: 6.55 u1: L/min st: NotStopd
t0: [21:00:00 17/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [21:00:00 17/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [21:00:00 17/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 17/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 17/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [21:00:00 17/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [21:00:00 17/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 17/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [21:00:00 17/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 17/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 17/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 17/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [21:00:00 17/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [21:00:00 17/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 17/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [21:00:00 17/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [21:00:00 17/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 17/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 17/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vu: ml nb: 1
t0: [23:00:00 17/10/2014] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 17/10/2014] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 17/10/2014] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 17/10/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 17/10/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN cv: 0 ap: none
t0: [20:00:00 17/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 17/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [21:00:00 17/10/2014] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 17/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [21:00:00 17/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [21:00:00 17/10/2014] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [21:00:00 17/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2014] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [21:00:00 17/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [21:00:00 17/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [23:00:00 17/10/2014] id: HOB el: 0 cu: MICU cg: RN v1: Flat in Bed st: NotStopd t0: [23:00:00 17/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [23:00:00 17/10/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [23:00:00 17/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [23:00:00 17/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Unable to Wedge st: NotStopd t0: [23:00:00 17/10/2014] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 17/10/2014] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 17/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [23:00:00 17/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:00:00 17/10/2014] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 17/10/2014] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 17/10/2014] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [00:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd
t0: [00:00:00 18/10/2014] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 18/10/2014] id: Daily Wake Up el: 1 cu: MICU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 18/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [00:00:00 18/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/10/2014] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 18/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 18/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 18/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 18/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Unable to Wedge st: NotStopd t0: [00:00:00 18/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 18/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 18/10/2014] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 18/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 18/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [00:00:00 18/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 30 u1: mmHg v2: 3 u2: mmHg st: NotStopd t0: [00:00:00 18/10/2014] id: Pain Location el: 0 cu: MICU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 18/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [00:00:00 18/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 18/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [00:00:00 18/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2014] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [00:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [00:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [00:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [00:00:00 18/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [00:00:00 18/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 18/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [00:00:00 18/10/2014] tf: [14:00:00 18/10/2014] dt: 840 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
tf: [12:00:00 18/10/2014] pt: IV Piggyback rt: IV fr: Q8H fs: 1, 9, 17 dn: 3 m1: Methylprednisolone Na Succ. v1: 80 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR
t0: [01:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [01:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 32 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [01:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [01:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [01:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [01:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [01:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [01:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 114 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [02:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 31 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [02:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [02:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [02:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [02:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [02:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [02:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [03:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 32 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [03:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [03:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [03:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [03:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [03:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [03:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [03:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [03:57:00 18/10/2014] id: BSA el: 1033 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Admit Wt el: 1032 cu: MICU cg: -1 v1: 66 u1: kg t0: [03:57:00 18/10/2014] id: Allergy 1 el: 1020 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Diagnosis/op el: 1023 cu: MICU cg: -1 v1: INTERSTITIAL PULMONARY FIBROSIS t0: [03:57:00 18/10/2014] id: Service el: 1026 cu: MICU cg: -1 v1: MED t0: [03:57:00 18/10/2014] id: Admit Ht el: 1034 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Readmission el: 1014 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Marital Status el: 1006 cu: MICU cg: -1 v1: S t0: [03:57:00 18/10/2014] id: Religion el: 1000 cu: MICU cg: -1 v1: RCA t0: [03:57:00 18/10/2014] id: Allergy 2 el: 1021 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Ext el: 1010 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: PIN el: 1012 cu: MICU cg: -1 t0: [03:57:00 18/10/2014] id: Allergy 3 el: 1022 cu: MICU cg: -1 t0: [04:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 29 u1: mmHg v2: 5 u2: mmHg st: NotStopd t0: [04:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [04:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [04:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [04:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [04:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [04:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 17/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:15:00 17/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.3333 u1: mmHg st: NotStopd
t0: [04:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [03:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [04:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 6 u1: lpm st: NotStopd t0: [04:30:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [04:30:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:30:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/10/2014] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [05:00:00 18/10/2014] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [05:00:00 18/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [05:00:00 18/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [05:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 18/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [05:00:00 18/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [05:00:00 18/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 18/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [05:00:00 18/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Unable to Wedge st: NotStopd t0: [05:00:00 18/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [05:00:00 18/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [05:00:00 18/10/2014] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [05:00:00 18/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [05:00:00 18/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 18/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 18/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [05:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [05:00:00 18/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 18/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 28 u1: mmHg v2: 5 u2: mmHg st: NotStopd t0: [05:00:00 18/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [05:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [05:00:00 18/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Rhonchi st: NotStopd t0: [05:00:00 18/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 18/10/2014] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [05:00:00 18/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 46 u1: BPM st: NotStopd t0: [05:00:00 18/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 18/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [05:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [05:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [05:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [05:00:00 18/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [05:00:00 18/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 18/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [05:00:00 18/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [05:00:00 18/10/2014] tf: [17:42:00 18/10/2014] dt: 762 id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 100 vu: ml t0: [05:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [04:20:00 18/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: WBC Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 40.1 u1: % rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 13.9 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 242 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 4.34 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 rs: Final st: NotStopd
t0: [04:20:00 18/10/2014] id: BUN el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 9.7 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Chloride Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Creatinine Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Glucose Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Magnesium Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Phosphorous Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Potassium Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Sodium Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 9.7 u1: mg/dl rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [04:20:00 18/10/2014] id: PT el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: INR Coags el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: PTT Coags el: 0 cu: MICU cg: 1663 v1: 27.8 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [04:20:00 18/10/2014] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 27.8 rs: Final st: NotStopd
t0: [06:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Non-Rebreather st: NotStopd t0: [06:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 15 u1: lpm st: NotStopd t0: [06:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 32 u1: mmHg v2: 9 u2: mmHg st: NotStopd t0: [06:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [06:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 34 u1: BPM st: NotStopd t0: [06:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [06:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [07:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 113 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [07:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [07:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 32 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [07:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [07:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 66 u1: kg st: NotStopd t0: [07:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 33 u1: BPM st: NotStopd t0: [07:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [07:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [07:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 112 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 26 u1: mmHg v2: 6 u2: mmHg st: NotStopd t0: [08:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [08:00:00 18/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [08:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [08:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [08:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 18/10/2014] id: Temp. Site el: 0 cu: MICU cg: RN v1: Blood st: NotStopd t0: [08:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2014] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2014] id: Temperature F el: 0 cu: MICU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [08:00:00 18/10/2014] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/10/2014] id: Daily Weight el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd
t0: [08:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN u1: mmHg st: NotStopd t0: [08:00:00 18/10/2014] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [08:00:00 18/10/2014] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 18/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [08:00:00 18/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 18/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 18/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 18/10/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 18/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 18/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Unable to Wedge st: NotStopd t0: [08:00:00 18/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 18/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 18/10/2014] id: IV Site Appear #1 el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 18/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 18/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 18/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 18/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/10/2014] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [08:00:00 18/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2014] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/10/2014] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [08:00:00 18/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [08:00:00 18/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 18/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 18/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 18/10/2014] id: Braden Score el: 0 cu: MICU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 18/10/2014] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [09:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [09:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [09:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 38 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [09:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [09:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [09:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [09:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 18/10/2014] id: Po Intake PO/Gastric el: 1 cu: MICU cg: RN ai: 103 vo: 120 vu: ml t0: [09:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 18/10/2014] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 220 ap: none
t0: [08:00:00 18/10/2014] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 18/10/2014] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/10/2014] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [08:00:00 18/10/2014] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/10/2014] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [08:00:00 18/10/2014] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 18/10/2014] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
t0: [10:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 18/10/2014] tf: [17:42:00 18/10/2014] dt: 462 id: Urine Out Void el: 1 cu: MICU cg: RN vo: 450 vu: ml
t0: [23:00:00 18/10/2014] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 18/10/2014] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 450 ap: none t0: [23:00:00 18/10/2014] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 450 ap: none
tf: [08:00:00 21/10/2014] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 60 u1: mg
t0: [10:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 104 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [10:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [10:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [10:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [10:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [10:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [10:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [11:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [11:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 44 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 18/10/2014] id: PCWP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [11:00:00 18/10/2014] id: Radiologic Study el: 0 cu: MICU cg: RN v1: CT scan st: NotStopd t0: [11:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 32 u1: BPM st: NotStopd t0: [11:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [11:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [11:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [12:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 40 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [12:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [12:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 18/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [13:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/10/2014] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 18/10/2014] id: Cough Effort el: 0 cu: MICU cg: RN v1: Strong st: NotStopd t0: [13:00:00 18/10/2014] id: Cough Type el: 0 cu: MICU cg: RN v1: Nonproductive st: NotStopd t0: [13:00:00 18/10/2014] id: Diet Type el: 0 cu: MICU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [13:00:00 18/10/2014] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [13:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/10/2014] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 18/10/2014] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 18/10/2014] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [13:00:00 18/10/2014] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [13:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 18/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [13:00:00 18/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [13:00:00 18/10/2014] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [13:00:00 18/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [13:00:00 18/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [13:00:00 18/10/2014] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 18/10/2014] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [13:00:00 18/10/2014] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 18/10/2014] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 18/10/2014] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [13:00:00 18/10/2014] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 18/10/2014] id: O2 Delivery Device el: 0 cu: MICU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 18/10/2014] id: O2 Flow (lpm) el: 0 cu: MICU cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 18/10/2014] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 18/10/2014] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 18/10/2014] id: Orientation el: 0 cu: MICU cg: RN v1: Oriented x 3 st: NotStopd t0: [13:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [13:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [13:00:00 18/10/2014] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 18/10/2014] id: PCWP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 18/10/2014] id: PVR el: 0 cu: MICU cg: RN v1: 276.364 u1: ... st: NotStopd t0: [13:00:00 18/10/2014] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 18/10/2014] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [13:00:00 18/10/2014] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/10/2014] id: Previous Weight el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [13:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [13:00:00 18/10/2014] id: RCW el: 0 cu: MICU cg: RN v1: 2.1692 u1: kg * m st: NotStopd t0: [13:00:00 18/10/2014] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 18/10/2014] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 18/10/2014] id: RVSW el: 0 cu: MICU cg: RN v1: 25.636 u1: g * m st: NotStopd t0: [13:00:00 18/10/2014] id: Respiratory Effort el: 0 cu: MICU cg: RN v1: Shallow st: NotStopd t0: [13:00:00 18/10/2014] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [13:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 18/10/2014] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 18/10/2014] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 18/10/2014] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 18/10/2014] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [13:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 18/10/2014] id: Stroke Volume el: 0 cu: MICU cg: RN v1: 65.4762 u1: ml st: NotStopd t0: [13:00:00 18/10/2014] id: Support Systems el: 0 cu: MICU cg: RN v1: Relative st: NotStopd t0: [13:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [13:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [13:00:00 18/10/2014] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [13:00:00 18/10/2014] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Amber v2: Clear st: NotStopd t0: [13:00:00 18/10/2014] id: Urine Source el: 0 cu: MICU cg: RN v1: Voids st: NotStopd t0: [13:00:00 18/10/2014] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 18/10/2014] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 18/10/2014] id: Behavior el: 0 cu: MICU cg: RN v1: Appropriate st: NotStopd t0: [13:00:00 18/10/2014] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [13:00:00 18/10/2014] id: Braden Score el: 0 cu: MICU cg: RN v1: 16 u1: number st: NotStopd t0: [13:00:00 18/10/2014] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: No Impairment st: NotStopd t0: [13:00:00 18/10/2014] id: C.O.(thermodilution) el: 0 cu: MICU cg: RN v1: 5.5 u1: L/min st: NotStopd
t0: [11:30:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [13:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [14:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 18/10/2014] id: CVP el: 0 cu: MICU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [14:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [14:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [14:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: RN v1: 38 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [14:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [14:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [14:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [14:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/10/2014] id: Procedures el: 0 cu: MICU cg: RN v1: Line Cultured st: NotStopd
t0: [14:00:00 18/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml st: Stopped
t0: [23:00:00 18/10/2014] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 18/10/2014] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 290 ap: none t0: [23:00:00 18/10/2014] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 510 ap: none t0: [23:00:00 18/10/2014] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: 60 ap: none t0: [23:00:00 18/10/2014] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 60 ap: none
t0: [15:00:00 18/10/2014] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: PAP Mean el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: PAP S/D el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: PCWP el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: Temperature C el: 0 cu: MICU cg: -1 st: D/C'd t0: [15:00:00 18/10/2014] id: Temperature F (calc) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [13:00:00 18/10/2014] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/10/2014] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:00:00 18/10/2014] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 18/10/2014] id: INV Line#1 D/C Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [15:00:00 18/10/2014] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [15:00:00 18/10/2014] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [15:00:00 18/10/2014] id: IV #1 Insert Date el: 0 cu: MICU cg: RN v1: 9 v2: 26 st: NotStopd t0: [15:00:00 18/10/2014] id: IV #1 Site/Size el: 0 cu: MICU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd
t0: [16:00:00 18/10/2014] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 18/10/2014] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/10/2014] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/10/2014] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 18/10/2014] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 18/10/2014] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/10/2014] id: NBP el: 0 cu: MICU cg: RN v1: 105 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 18/10/2014] id: NBP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 18/10/2014] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/10/2014] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 67.3 u1: kg st: NotStopd t0: [16:00:00 18/10/2014] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 18/10/2014] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 18/10/2014] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
tf: [08:00:00 20/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [19:00:00 21/10/2014] pt: Unit Dose rt: PO fr: Q24H fs: 15 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [08:00:00 21/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [08:00:00 21/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
tf: [08:00:00 21/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
tf: [21:22:00 23/10/2014] dt: 3913 cu: CCU di: No Disch Status
t0: [04:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:00:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [04:00:00 21/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Nonproductive st: NotStopd t0: [04:00:00 21/10/2014] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 130 u1: BPM st: NotStopd t0: [04:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 21/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 21/10/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [04:00:00 21/10/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [04:00:00 21/10/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [04:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [04:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [04:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [04:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [04:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Problem st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 21/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 21/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 50 u1: BPM st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Airway Type el: 0 cu: CCU cg: RRT v1: None st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 16.6 u1: L/min st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Pressure Support el: 0 cu: CCU cg: RRT v1: 12 u1: . st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 43 u1: BPM st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [04:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:15:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:15:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [04:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 138 u1: BPM st: NotStopd t0: [04:15:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [04:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 43 u1: BPM st: NotStopd t0: [04:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 87 u1: % st: NotStopd t0: [04:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [04:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 134 u1: BPM st: NotStopd t0: [04:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 41 u1: BPM st: NotStopd t0: [04:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:45:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 133 u1: BPM st: NotStopd t0: [04:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [04:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 42 u1: BPM st: NotStopd t0: [04:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3922 id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 21/10/2014] tf: [20:00:00 22/10/2014] dt: 2400 id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [04:45:00 21/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 38.3 u1: % rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 14.2 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 376 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.21 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd
t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: CaO2 el: 0 cu: CCU cg: 140 v1: 19.0969 u1: ml/dl st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 145 u1: mmHg rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [05:29:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3833 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:45:00 21/10/2014] id: BUN el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 93 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 91 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.4 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 93 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 91 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 rs: Final st: NotStopd t0: [04:45:00 21/10/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd
t0: [05:53:00 21/10/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd
id: Propofol el: 100 cu: CCU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
tf: [08:00:00 21/10/2014] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5-2 u1: mg
id: N/A el: 1 cu: CCU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [04:45:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [05:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [05:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 142 u1: BPM st: NotStopd t0: [05:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [05:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [05:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 131 u1: BPM st: NotStopd t0: [05:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [05:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [05:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [05:45:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [05:45:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [05:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [05:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 47 u1: BPM st: NotStopd t0: [05:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [05:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [06:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [06:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [06:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 48 u1: BPM st: NotStopd t0: [06:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:15:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [06:15:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [06:15:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [06:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [06:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3787 id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [06:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [06:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [06:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:45:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [06:45:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 112 u1: BPM st: NotStopd t0: [06:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 21/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 21/10/2014] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 21/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 21/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [05:00:00 21/10/2014] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [05:00:00 21/10/2014] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [05:00:00 21/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd
t0: [06:50:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:50:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 128 u1: BPM st: NotStopd t0: [06:50:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [06:50:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [06:50:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 58 u1: BPM st: NotStopd t0: [06:50:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:50:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:55:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:55:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 134 u1: BPM st: NotStopd t0: [06:55:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:55:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [06:55:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [06:55:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:55:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:50:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:55:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 119 u1: BPM st: NotStopd t0: [07:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [07:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 50 u1: BPM st: NotStopd t0: [07:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3742 id: Significant Events el: 0 cu: CCU cg: RN v1: Intubated st: NotStopd t0: [07:05:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:05:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [07:05:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:05:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [07:05:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:05:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:05:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:10:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:10:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [07:10:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:10:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 56.6667 u1: mmHg st: NotStopd t0: [07:10:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:10:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:10:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 123 u1: BPM st: NotStopd t0: [07:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [07:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:05:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:10:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:15:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Neosynephrine-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [07:50:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [07:50:00 21/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:50:00 21/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 64 u1: BPM st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:50:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [07:50:00 21/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10.6 st: NotStopd t0: [07:50:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:50:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 20.4 u1: L/min st: NotStopd t0: [07:50:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:50:00 21/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [07:50:00 21/10/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 18 u1: . st: NotStopd t0: [07:50:00 21/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 50 u1: BPM st: NotStopd t0: [07:50:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thin st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [07:50:00 21/10/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [07:50:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:50:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [07:50:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3692 id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 135 u1: BPM st: NotStopd t0: [07:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [07:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [07:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [07:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 57 u1: BPM st: NotStopd t0: [07:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:50:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:50:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 125 u1: BPM st: NotStopd t0: [07:50:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [07:50:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [07:50:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 44 u1: BPM st: NotStopd t0: [07:50:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:55:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:55:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 127 u1: BPM st: NotStopd t0: [07:55:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [07:55:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [07:55:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [07:55:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:55:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [08:00:00 21/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 123 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 21/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 21/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 21/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 21/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 21/10/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/10/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [08:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 45.6667 u1: mmHg st: NotStopd t0: [08:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [08:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 48 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [08:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:05:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:05:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [08:05:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:05:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [08:05:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 58 u1: BPM st: NotStopd t0: [08:05:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [08:05:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:05:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [07:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:50:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:55:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:05:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [08:00:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 21/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 21/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.8 st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 21/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10 st: NotStopd t0: [08:00:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [08:00:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 21/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:00:00 21/10/2014] dt: 780 id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [08:00:00 21/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 21/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ra: 10 ru: ml/hr
tf: [08:00:00 23/10/2014] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [08:00:00 23/10/2014] pt: IV Piggyback rt: IV fr: Q24H fs: 12 dn: 1 m1: Ceftriaxone v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [08:00:00 23/10/2014] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Vial v2: 1 u2: VIAL
id: .9% Normal Saline el: 2 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:30:00 21/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.5 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 15.5 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.9 u1: % rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 295 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.84 u1: /mic l rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.5 rs: Final st: NotStopd
t0: [08:30:00 21/10/2014] id: BUN el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 91 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 91 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [08:30:00 21/10/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd
t0: [08:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:15:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 122 u1: BPM st: NotStopd t0: [08:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [08:15:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [08:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [08:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [08:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 121 u1: BPM st: NotStopd t0: [08:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [08:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 48 u1: BPM st: NotStopd t0: [08:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [09:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [09:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 51.6667 u1: mmHg st: NotStopd t0: [09:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [09:00:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [09:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [09:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [09:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [09:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:15:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [09:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [09:15:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [09:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 114 u1: BPM st: NotStopd t0: [09:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53.3333 u1: mmHg st: NotStopd t0: [09:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [09:30:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [09:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [09:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 54.6667 u1: mmHg st: NotStopd t0: [09:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [09:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [09:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [10:00:00 21/10/2014] tf: [20:00:00 22/10/2014] dt: 2040 id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [10:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [10:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 21/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [10:00:00 21/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 21/10/2014] tf: [04:00:00 22/10/2014] dt: 1230 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [07:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 200 vu: ml t0: [08:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [09:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [09:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [09:30:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3592 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 125 vu: ml t0: [10:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 250 vu: ml t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 80 vu: ml t0: [10:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [08:15:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:15:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:15:00 21/10/2014] id: Procedures el: 0 cu: CCU cg: RN v1: Blood Cultured st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [10:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3562 id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [10:00:00 21/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:15:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 115 u1: BPM st: NotStopd t0: [10:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [10:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 51.3333 u1: mmHg st: NotStopd t0: [10:15:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [10:15:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [10:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [10:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 21/10/2014] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [10:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [10:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [10:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [10:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [10:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 21/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [11:00:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [11:00:00 21/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 21/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:00:00 21/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.8 st: NotStopd t0: [11:00:00 21/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 21/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [11:00:00 21/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10 st: NotStopd t0: [11:00:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [11:00:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15.2 u1: L/min st: NotStopd t0: [11:00:00 21/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 21/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [11:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3502 id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [11:00:00 21/10/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 21/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:00:00 21/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [11:00:00 21/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 21/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 21/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [11:00:00 21/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 21/10/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [11:00:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [11:00:00 21/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 500 vu: ml
t0: [10:15:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [11:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [11:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 35 vu: ml
t0: [11:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3442 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 96 rs: Manual st: NotStopd
tf: [08:00:00 23/10/2014] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln v1: 1-2 u1: NEB
t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Restraint Type el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3682 id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [12:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [12:00:00 21/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Productive st: NotStopd t0: [12:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 21/10/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 21/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 21/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 21/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 21/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 21/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [12:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [12:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [12:00:00 21/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 21/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [12:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [12:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [12:00:00 21/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 21/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 21/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 21/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3442 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 250 vu: ml t0: [12:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [12:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [12:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [12:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [12:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [12:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:30:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [12:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 500 vu: ml
t0: [12:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [12:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [12:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [12:00:00 22/10/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg tf: [01:00:00 24/10/2014] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml tf: [01:00:00 24/10/2014] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Fentanyl Citrate v1: 25-100 u1: mcg
t0: [13:06:00 21/10/2014] id: BSA el: 1033 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 66 u1: kg t0: [13:06:00 21/10/2014] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: INTERSTITIAL PULMONARY FIBROSIS t0: [13:06:00 21/10/2014] id: Service el: 1026 cu: CCU cg: -1 v1: MED t0: [13:06:00 21/10/2014] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Readmission el: 1014 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Marital Status el: 1006 cu: CCU cg: -1 v1: S t0: [13:06:00 21/10/2014] id: Religion el: 1000 cu: CCU cg: -1 v1: RCA t0: [13:06:00 21/10/2014] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Ext el: 1010 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: PIN el: 1012 cu: CCU cg: -1 t0: [13:06:00 21/10/2014] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [13:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [13:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [13:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [13:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [13:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [13:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [13:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [13:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [14:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [14:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [14:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [14:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [14:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [14:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [14:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [14:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [14:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [14:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [14:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 21/10/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 21/10/2014] id: PVR el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 21/10/2014] id: SVR el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 21/10/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 21/10/2014] id: C.O.(thermodilution) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [15:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [15:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [15:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [15:15:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:15:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [15:15:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:15:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:15:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [15:15:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [15:15:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:15:00 21/10/2014] id: Procedures el: 0 cu: CCU cg: RN v1: Line Placement st: NotStopd t0: [15:15:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 43 u1: BPM st: NotStopd t0: [15:15:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [15:15:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [15:30:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [15:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [15:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:30:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [15:30:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3232 id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:30:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3232 id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [15:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:30:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [15:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [15:45:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:45:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:45:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:45:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:45:00 21/10/2014] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [15:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [15:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [15:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 21/10/2014] tf: [04:00:00 22/10/2014] dt: 720 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3202 id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3202 id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 3202 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 21/10/2014] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 21/10/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2014] tf: [04:00:00 22/10/2014] dt: 720 id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/10/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [15:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [15:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 500 vu: ml
t0: [15:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:45:00 21/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 231 u1: mmHg rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd
t0: [15:45:00 21/10/2014] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 116 rs: Final st: NotStopd t0: [15:45:00 21/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 116 rs: Final st: NotStopd
t0: [16:12:00 21/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [16:12:00 21/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [16:12:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:12:00 21/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:12:00 21/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.8 st: NotStopd t0: [16:12:00 21/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:12:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:12:00 21/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [16:12:00 21/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10 st: NotStopd t0: [16:12:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [16:12:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:12:00 21/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:12:00 21/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:12:00 21/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:12:00 21/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:12:00 21/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:12:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:12:00 21/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:12:00 21/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:12:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:12:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [16:12:00 21/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 21/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [11:00:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd
t0: [16:12:00 21/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd
t0: [16:18:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [16:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [16:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 21/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 21/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 21/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 21/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 21/10/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 21/10/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/10/2014] id: Procedures el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [16:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [16:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 21/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [16:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [16:00:00 21/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [15:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [16:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [16:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [16:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [16:00:00 22/10/2014] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [01:00:00 24/10/2014] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg
id: Gastric Meds el: 1 cu: CCU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [16:30:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [17:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 500 vu: ml t0: [17:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [17:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml
t0: [17:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:54:00 21/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [17:54:00 21/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [17:54:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:54:00 21/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.1 st: NotStopd t0: [17:54:00 21/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:54:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [17:54:00 21/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [17:54:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [17:54:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 19 u1: L/min st: NotStopd t0: [17:54:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:54:00 21/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [17:54:00 21/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [17:54:00 21/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 39 u1: BPM st: NotStopd t0: [17:54:00 21/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:54:00 21/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [17:54:00 21/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [17:54:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [17:54:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [17:54:00 21/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 21/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 21/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 21/10/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 21/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 21/10/2014] tf: [04:00:00 22/10/2014] dt: 600 id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 21/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [18:00:00 21/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 21/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [18:00:00 21/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [18:00:00 21/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [18:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 39 u1: BPM st: NotStopd t0: [18:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [18:30:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:30:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:30:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [18:30:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:30:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:30:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:30:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:30:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:30:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:30:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [18:45:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:45:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:45:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [18:45:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:45:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [18:45:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:45:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:45:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:45:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:45:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:45:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [18:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [18:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:45:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 21/10/2014] id: Radiologic Study el: 0 cu: CCU cg: RN v1: CT scan st: NotStopd t0: [18:15:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:30:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:45:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd
t0: [19:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [19:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 21/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [20:00:00 21/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Product/Congest st: NotStopd t0: [20:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 21/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 24cm v2: Lip st: NotStopd t0: [20:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/10/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 21/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 21/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 21/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 21/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 21/10/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/10/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 21/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 21/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/10/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [20:00:00 21/10/2014] id: Airway Size el: 0 cu: CCU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 21/10/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 21/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [20:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 21/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 21/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 21/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [20:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [20:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 21/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 21/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [20:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/10/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 21/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 21/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [20:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [20:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 280 vu: ml
t0: [19:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [08:00:00 23/10/2014] pt: IV Piggyback rt: IV fr: Q24H fs: 22 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
t0: [21:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [21:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [21:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 21/10/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 st: D/C'd
t0: [21:03:00 21/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [21:03:00 21/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [21:03:00 21/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:03:00 21/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [21:03:00 21/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [21:03:00 21/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:03:00 21/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [21:03:00 21/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [21:03:00 21/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [21:03:00 21/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10 st: NotStopd t0: [21:03:00 21/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [21:03:00 21/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [21:03:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 2899 id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [21:03:00 21/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:03:00 21/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [21:03:00 21/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:03:00 21/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:03:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:03:00 21/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [21:03:00 21/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:03:00 21/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [21:03:00 21/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [21:03:00 21/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [21:10:00 21/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.0933 u1: ml/dl st: NotStopd t0: [21:10:00 21/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [21:10:00 21/10/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 94 u1: % rs: Final st: NotStopd
t0: [21:00:00 21/10/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 21/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 21/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [22:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 21/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Very Sedated st: NotStopd t0: [22:00:00 21/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [22:00:00 21/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Product/Congest st: NotStopd t0: [22:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [22:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 21/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 21/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 21/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 21/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 21/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 21/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [22:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [22:00:00 21/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 21/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 21/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 21/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 21/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 21/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:00:00 21/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 21/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 21/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [22:00:00 21/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [22:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 2842 id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [22:00:00 21/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [22:00:00 21/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [22:00:00 21/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 21/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 21/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 21/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [22:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [22:00:00 21/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [22:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 2842 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 21/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 280 vu: ml
t0: [22:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/10/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 60 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1720 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1720 ap: none
tf: [08:00:00 23/10/2014] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg
t0: [00:54:00 22/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.5652 u1: ml/cmH st: NotStopd t0: [00:54:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [00:54:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:54:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:54:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:54:00 22/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [00:54:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:54:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:54:00 22/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [00:54:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [00:54:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 10 st: NotStopd t0: [00:54:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:54:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [00:54:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:54:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:54:00 22/10/2014] id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [00:54:00 22/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:54:00 22/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:54:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [00:54:00 22/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:54:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:54:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:54:00 22/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 465 u1: ml/B st: NotStopd t0: [00:54:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:54:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:54:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [00:54:00 22/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
io: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: Promote w/fiber el: 1 cu: CCU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [23:00:00 21/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [23:00:00 21/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 21/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:00:00 21/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 21/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 21/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 21/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [23:00:00 21/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 21/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [00:00:00 22/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 22/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [01:00:00 22/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [01:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 21/10/2014] tf: [21:22:00 23/10/2014] dt: 2842 id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 21/10/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 21/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [23:00:00 21/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [23:00:00 21/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 21/10/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [23:00:00 21/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 21/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [23:00:00 21/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 21/10/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 21/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 21/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 21/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 21/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [23:00:00 21/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 21/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 21/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [23:00:00 21/10/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [23:00:00 21/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 21/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 21/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 21/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 21/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 21/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 21/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 21/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [23:00:00 21/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [23:00:00 21/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [23:00:00 21/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [23:00:00 21/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [23:00:00 21/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [00:00:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [00:00:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [01:00:00 22/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [01:00:00 22/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Product/Congest st: NotStopd t0: [01:00:00 22/10/2014] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 22/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [01:00:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [01:00:00 22/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [01:00:00 22/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [01:00:00 22/10/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 22/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [01:00:00 22/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [01:00:00 22/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [01:00:00 22/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [01:00:00 22/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 22/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [01:00:00 22/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [01:00:00 22/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 22/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 22/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 22/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [01:00:00 22/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [01:00:00 22/10/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [01:00:00 22/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 22/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 22/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [02:00:00 22/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 22/10/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [02:00:00 22/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 22/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 22/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [02:00:00 22/10/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 22/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [02:00:00 22/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [02:00:00 22/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [02:00:00 22/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [02:00:00 22/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [02:00:00 22/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [02:00:00 22/10/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/10/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 22/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 22/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 22/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 22/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 22/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 22/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [02:00:00 22/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 22/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 22/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [02:00:00 22/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 21/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 500 vu: ml t0: [22:00:00 21/10/2014] tf: [10:00:00 23/10/2014] dt: 2160 id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [22:00:00 21/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 21/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 22/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [00:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [00:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml t0: [01:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2662 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 189 vo: 50 vu: ml t0: [01:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 22/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [02:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [02:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [23:00:00 21/10/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 310 cv: 310 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 300 cv: 5527.56 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 310 cv: 5607.56 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 10 cv: 20 ap: none t0: [23:00:00 21/10/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 310 cv: 3887.56 ap: none t0: [23:00:00 21/10/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 310 cv: 3947.56 ap: none t0: [23:00:00 22/10/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 725 cv: 725 ap: none t0: [23:00:00 22/10/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -670.24 cv: -670.24 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 24.76 cv: 675.52 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 54.76 cv: 1385.52 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 30 cv: 560 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 725 cv: 2370 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -670.24 cv: -984.48 ap: none t0: [23:00:00 22/10/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 725 cv: 2370 ap: none t0: [23:00:00 22/10/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -670.24 cv: 2963.08 ap: none
t0: [04:00:00 22/10/2014] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: IV #1 Reason DC'D el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [04:00:00 22/10/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [04:26:00 22/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [20:00:00 21/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN st: NotStopd t0: [20:00:00 21/10/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN st: NotStopd t0: [23:00:00 21/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN st: NotStopd t0: [00:00:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 24cm v2: Lip st: NotStopd t0: [00:00:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RN v1: 8.0 mm st: NotStopd t0: [00:00:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 22/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 22/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RN v1: Drager st: NotStopd t0: [02:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [02:00:00 22/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/10/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN st: NotStopd t0: [02:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 22/10/2014] id: Support Systems el: 0 cu: CCU cg: RN st: NotStopd t0: [02:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [03:00:00 22/10/2014] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [03:00:00 22/10/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [03:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 22/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [03:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [03:00:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [03:00:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [03:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 22/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:00:00 22/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 22/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [04:00:00 22/10/2014] id: Cough Type el: 0 cu: CCU cg: RN v1: Product/Congest st: NotStopd t0: [04:00:00 22/10/2014] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 22/10/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 22/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 22/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 22/10/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 22/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 22/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [04:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2482 id: INV Line#2 D/C Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#2 D/C Date el: 0 cu: CCU cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/10/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 22/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 22/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 22/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 22/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 22/10/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [04:00:00 22/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 22/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/10/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 22/10/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 22/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 22/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Dyspneic st: NotStopd t0: [04:00:00 22/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 41 u1: BPM st: NotStopd t0: [04:00:00 22/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 22/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/10/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 22/10/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 22/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 22/10/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 22/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/10/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 22/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 22/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 22/10/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vu: ml st: Stopped t0: [04:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [04:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml
t0: [02:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:15:00 22/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.7 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 9.7 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.1 u1: % rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 222 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.7 rs: Final st: NotStopd t0: [04:26:00 22/10/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.3109 u1: ml/dl st: NotStopd
t0: [04:15:00 22/10/2014] id: PT el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: INR Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: PTT Coags el: 0 cu: CCU cg: 140 v1: 28.3 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 28.3 rs: Final st: NotStopd
t0: [05:00:00 22/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.5652 u1: ml/cmH st: NotStopd t0: [05:00:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [05:00:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [05:00:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 22/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [05:00:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [05:00:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [05:00:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 22/10/2014] id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [05:00:00 22/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 22/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [05:00:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 22/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [04:15:00 22/10/2014] id: BUN el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [04:15:00 22/10/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd
t0: [05:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2422 id: RSBI (<100) el: 0 cu: CCU cg: RRT v1: 157.143 u1: units st: NotStopd t0: [05:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2422 id: RSBI (<200) el: 0 cu: CCU cg: RRT v1: 157.143 u1: units st: NotStopd t0: [05:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2422 id: Spon RR (Mech.) el: 0 cu: CCU cg: RRT v1: 44 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2422 id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: RRT v1: 0.28 u1: L st: NotStopd
t0: [03:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 43 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [05:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [05:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [05:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 22/10/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml
t0: [07:50:00 22/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.5652 u1: ml/cmH st: NotStopd t0: [07:50:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [07:50:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [07:50:00 22/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:50:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:50:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 22/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [07:50:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [07:50:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [07:50:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 13.3 u1: L/min st: NotStopd t0: [07:50:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [07:50:00 22/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [07:50:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [07:50:00 22/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:50:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:50:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:50:00 22/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 456 u1: ml/B st: NotStopd t0: [07:50:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:50:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [07:50:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [07:50:00 22/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [07:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 22/10/2014] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 22/10/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 22/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 22/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 22/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 22/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 22/10/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [08:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 22/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 47.52 vu: ml t0: [08:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [08:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [07:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:15:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2467 id: Vancomycin/Random Drug Level el: 0 cu: CCU cg: 140 v1: 10.6 rs: Final st: NotStopd
t0: [08:00:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [08:00:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [08:00:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [09:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 41 u1: BPM st: NotStopd t0: [09:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 55 u1: BPM st: NotStopd t0: [10:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 22/10/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 22/10/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 107 vo: 90 vu: ml t0: [10:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [10:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [10:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml
t0: [09:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 22/10/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 124 rs: Manual st: NotStopd
t0: [08:00:00 22/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [08:00:00 22/10/2014] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 22/10/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [08:00:00 22/10/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 22/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 22/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 22/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 22/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 22/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 22/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/10/2014] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 22/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Shallow st: NotStopd t0: [08:00:00 22/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 22/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [08:00:00 22/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 22/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [08:00:00 22/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 22/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 22/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [11:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [12:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 22/10/2014] id: Cough Effort el: 0 cu: CCU cg: RN v1: Strong st: NotStopd t0: [12:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 22/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 22/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 22/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 22/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 22/10/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/10/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/10/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 22/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 22/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 22/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/10/2014] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 2002 id: Pain Management el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/10/2014] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 22/10/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 22/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: RN v1: Shallow st: NotStopd t0: [12:00:00 22/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [12:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 22/10/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 22/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [12:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [12:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [11:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [12:00:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [12:00:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [12:00:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [12:00:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 22/10/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 20 u1: . st: NotStopd t0: [12:00:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [12:00:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [12:47:00 22/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [12:47:00 22/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [12:47:00 22/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [12:47:00 22/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 22/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 175 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 22/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd
t0: [13:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [13:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 41 u1: BPM st: NotStopd t0: [13:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [13:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml
t0: [13:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [13:30:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:30:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:30:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:30:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [13:30:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [13:30:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:20:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 37 u1: BPM st: NotStopd t0: [13:20:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [13:20:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd
t0: [13:30:00 22/10/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:30:00 22/10/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [13:30:00 22/10/2014] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd
t0: [13:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
tf: [11:00:00 23/10/2014] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl v1: 0.5-2 u1: mg
t0: [16:15:00 22/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [16:15:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 1747 id: ETT Position Change el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [16:15:00 22/10/2014] id: ETT Position Change el: 0 cu: CCU cg: RRT v1: Done st: NotStopd t0: [16:15:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:15:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:15:00 22/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [16:15:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:15:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:15:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [16:15:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [16:15:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [16:15:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:15:00 22/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 0 u1: . st: NotStopd t0: [16:15:00 22/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:15:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [16:15:00 22/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:15:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:15:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:15:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:15:00 22/10/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [16:15:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:15:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 22/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 22/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 22/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 22/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [14:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 114 u1: BPM st: NotStopd t0: [14:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [14:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 43 u1: BPM st: NotStopd t0: [14:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [15:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [15:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [16:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [16:00:00 22/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [16:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 22/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 22/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [16:00:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [16:00:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.88 vu: ml t0: [14:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [14:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [16:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [16:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [16:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [14:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [17:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [17:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [17:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [18:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 43 u1: BPM st: NotStopd t0: [18:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31.68 vu: ml t0: [18:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 80 vu: ml t0: [18:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [18:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 22/10/2014] id: Cough Effort el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: Cough Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: NBP el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: NBP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 22/10/2014] id: Respiratory Effort el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:30:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [20:30:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:30:00 22/10/2014] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:30:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:30:00 22/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:30:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 22/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [20:30:00 22/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [20:30:00 22/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:30:00 22/10/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:30:00 22/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [20:30:00 22/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:30:00 22/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:30:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:30:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 22/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:30:00 22/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [20:30:00 22/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:30:00 22/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [20:30:00 22/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:30:00 22/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [20:30:00 22/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:30:00 22/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 22/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 22/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 22/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:30:00 22/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 22/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:30:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:30:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:30:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:30:00 22/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 22/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:30:00 22/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:30:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:30:00 22/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:30:00 22/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 22/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:30:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [20:30:00 22/10/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [20:30:00 22/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:30:00 22/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:30:00 22/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:30:00 22/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 22/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 22/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 22/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:30:00 22/10/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:30:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 39.6 vu: ml t0: [20:30:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 75 vu: ml
t0: [20:30:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [20:00:00 23/10/2014] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 40 u1: mg tf: [01:00:00 24/10/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: Soln. v2: 50 u2: ml
t0: [21:30:00 22/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22.5 u1: ml/cmH st: NotStopd t0: [21:30:00 22/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [21:30:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 1432 id: HI/Minute/Vol/ el: 0 cu: CCU cg: RRT v1: 22 t0: [21:30:00 22/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:30:00 22/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:30:00 22/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [21:30:00 22/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:30:00 22/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [21:30:00 22/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [21:30:00 22/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [21:30:00 22/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [21:30:00 22/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [21:30:00 22/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [21:30:00 22/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [21:30:00 22/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:30:00 22/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:30:00 22/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:30:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:30:00 22/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [21:30:00 22/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:30:00 22/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:30:00 22/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:30:00 22/10/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [21:30:00 22/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [21:30:00 22/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [21:30:00 22/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
id: Fentanyl el: 100 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ra: 1 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [22:00:00 22/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [22:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 1402 id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [22:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [22:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 35.64 vu: ml t0: [22:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 45 vu: ml t0: [22:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 500 vu: ml
t0: [22:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 22/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [23:00:00 22/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 22/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 22/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 22/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 22/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 22/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 22/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/10/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 107 vo: 60 vu: ml t0: [23:00:00 22/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 23.76 vu: ml t0: [23:00:00 22/10/2014] tf: [21:22:00 23/10/2014] dt: 1342 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1 vu: ml t0: [23:00:00 22/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [23:00:00 22/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 725 vu: ml
t0: [23:00:00 22/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 22/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/10/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 150 ap: none
t0: [00:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [00:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 23/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 23/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 23/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [00:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.84 vu: ml t0: [00:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 1 vu: ml t0: [00:00:00 23/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [00:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [00:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:25:00 23/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [00:25:00 23/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [00:25:00 23/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 39 rs: Final st: NotStopd t0: [00:25:00 23/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [00:25:00 23/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 135 u1: mmHg rs: Final st: NotStopd t0: [00:25:00 23/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd
t0: [01:00:00 23/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [01:00:00 23/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [01:00:00 23/10/2014] id: HI/Minute/Vol/ el: 0 cu: CCU cg: RRT v1: 22 t0: [01:00:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 23/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 23/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [01:00:00 23/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 23/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 23/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 23/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [01:00:00 23/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [01:00:00 23/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [01:00:00 23/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [01:00:00 23/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [01:00:00 23/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:00:00 23/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 23/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [01:00:00 23/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 23/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 23/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 23/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [01:00:00 23/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [00:11:00 23/10/2014] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [00:11:00 23/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd
t0: [02:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [02:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 34 u1: BPM st: NotStopd t0: [02:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 65 vu: ml t0: [02:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31.68 vu: ml t0: [02:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2 vu: ml t0: [02:00:00 23/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [02:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [02:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 23/10/2014] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 23/10/2014] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 286.28 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 516.28 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: -1 cg: RN cv: 230 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 725 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: -208.72 ap: none t0: [23:00:00 23/10/2014] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 725 ap: none t0: [23:00:00 23/10/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 2754.36 ap: none
tf: [01:00:00 24/10/2014] pt: Unit Dose rt: PO fr: ONCE fs: 3 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [03:00:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 23/10/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 23/10/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 23/10/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31.68 vu: ml t0: [04:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2 vu: ml t0: [04:00:00 23/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [04:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 23/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.4286 u1: ml/cmH st: NotStopd t0: [04:30:00 23/10/2014] id: RSBI (<100) el: 0 cu: CCU cg: RRT v1: 83.3333 u1: units st: NotStopd t0: [04:30:00 23/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [04:30:00 23/10/2014] id: HI/Minute/Vol/ el: 0 cu: CCU cg: RRT v1: 22 t0: [04:30:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:30:00 23/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 23/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [04:30:00 23/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 23/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 23/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [04:30:00 23/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 7 st: NotStopd t0: [04:30:00 23/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [04:30:00 23/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 23/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: RSBI (<200) el: 0 cu: CCU cg: RRT v1: 83.3333 u1: units st: NotStopd t0: [04:30:00 23/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [04:30:00 23/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:30:00 23/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:30:00 23/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:30:00 23/10/2014] id: Spon RR (Mech.) el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:30:00 23/10/2014] id: Spon. Vt (L) (Mech.) el: 0 cu: CCU cg: RRT v1: 0.36 u1: L st: NotStopd t0: [04:30:00 23/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:30:00 23/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:30:00 23/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 23/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd t0: [04:30:00 23/10/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [05:36:00 23/10/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [05:36:00 23/10/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [05:36:00 23/10/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 38 rs: Final st: NotStopd t0: [05:36:00 23/10/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [05:36:00 23/10/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [05:36:00 23/10/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd
t0: [04:00:00 23/10/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/10/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 23/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 23/10/2014] id: GI#1 Tube Stat/Drain el: 0 cu: CCU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 23/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 23/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 23/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 23/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [04:00:00 23/10/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [04:00:00 23/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 23/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [04:00:00 23/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 23/10/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 23/10/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/10/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/10/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 23/10/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/10/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/10/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/10/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/10/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 23/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/10/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/10/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [06:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [06:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [06:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [06:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31.68 vu: ml t0: [06:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 2 vu: ml t0: [06:00:00 23/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 189 vo: 80 vu: ml t0: [06:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [06:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:35:00 23/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.4 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: WBC Hematology el: 0 cu: CCU cg: 140 v1: 8.4 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 947 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0.2 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 947 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 947 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 15.7 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 947 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 947 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 80.5 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.6 u1: % rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 233 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.4 rs: Final st: NotStopd
t0: [05:35:00 23/10/2014] id: BUN el: 0 cu: CCU cg: 140 v1: 11 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Chloride Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Creatinine Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Glucose Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Magnesium Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Phosphorous Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Potassium Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Sodium Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 11 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [05:35:00 23/10/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [08:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 23/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 23/10/2014] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [08:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [08:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [01:00:00 24/10/2014] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Morphine Sulfate v1: 100 u1: mg m2: D5W v2: 100 u2: ml
t0: [07:34:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [09:26:00 23/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: SRT v1: 25 u1: ml/cmH st: NotStopd t0: [09:26:00 23/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: SRT v1: 24cm v2: Lip st: NotStopd t0: [09:26:00 23/10/2014] id: HI/Minute/Vol/ el: 0 cu: CCU cg: SRT v1: 22.5 t0: [09:26:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: SRT v1: 0.6 u1: torr st: NotStopd t0: [09:26:00 23/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: SRT v1: 45 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: SRT v1: 10 u1: BPM st: NotStopd t0: [09:26:00 23/10/2014] id: I:E Ratio el: 0 cu: CCU cg: SRT v1: 1;3.3 st: NotStopd t0: [09:26:00 23/10/2014] id: Airway Size el: 0 cu: CCU cg: SRT v1: 8.0 mm st: NotStopd t0: [09:26:00 23/10/2014] id: Airway Type el: 0 cu: CCU cg: SRT v1: Endotracheal st: NotStopd t0: [09:26:00 23/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: SRT u1: Deg. C st: NotStopd t0: [09:26:00 23/10/2014] id: Intubation Date el: 0 cu: CCU cg: SRT v1: 9 v2: 30 st: NotStopd t0: [09:26:00 23/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: SRT v1: 8 st: NotStopd t0: [09:26:00 23/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: SRT v1: 12 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: SRT v1: 12.2 u1: L/min st: NotStopd t0: [09:26:00 23/10/2014] id: PEEP Set el: 0 cu: CCU cg: SRT v1: 5 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: SRT v1: 20 st: NotStopd t0: [09:26:00 23/10/2014] id: Peak Flow el: 0 cu: CCU cg: SRT u1: L/m st: NotStopd t0: [09:26:00 23/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: SRT v1: 23 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: SRT v1: 25 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: SRT v1: 14 u1: BPM st: NotStopd t0: [09:26:00 23/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: SRT v1: 28 u1: BPM st: NotStopd t0: [09:26:00 23/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: SRT v1: 14 u1: BPM st: NotStopd t0: [09:26:00 23/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: SRT v1: 2 u1: cmH2O st: NotStopd t0: [09:26:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: SRT v1: 100 u1: % st: NotStopd t0: [09:26:00 23/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: SRT v1: Suctioned st: NotStopd t0: [09:26:00 23/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: SRT v1: 450 u1: ml/B st: NotStopd t0: [09:26:00 23/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: SRT v1: 450 u1: ml/B st: NotStopd t0: [09:26:00 23/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: SRT v1: Assist Control st: NotStopd t0: [09:26:00 23/10/2014] id: Ventilator Type el: 0 cu: CCU cg: SRT v1: Drager st: NotStopd
t0: [10:00:00 23/10/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [08:00:00 23/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 23/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 23/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 23/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 23/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [08:00:00 23/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [08:00:00 23/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 23/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [08:00:00 23/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 23/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 23/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/10/2014] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [10:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 47.52 vu: ml t0: [09:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml t0: [09:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [10:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [01:00:00 24/10/2014] pt: Unit Dose rt: IV fr: ASDIR m1: Midazolam HCl v1: 2-4 u1: mg
t0: [15:34:00 23/10/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.75 u1: ml/cmH st: NotStopd t0: [15:34:00 23/10/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [15:34:00 23/10/2014] id: HI/Minute/Vol/ el: 0 cu: CCU cg: RRT v1: 22 t0: [15:34:00 23/10/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:34:00 23/10/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:34:00 23/10/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.3 st: NotStopd t0: [15:34:00 23/10/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:34:00 23/10/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [15:34:00 23/10/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [15:34:00 23/10/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 9 v2: 30 st: NotStopd t0: [15:34:00 23/10/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 8 st: NotStopd t0: [15:34:00 23/10/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [15:34:00 23/10/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [15:34:00 23/10/2014] id: Peak Flow el: 0 cu: CCU cg: RRT u1: L/m st: NotStopd t0: [15:34:00 23/10/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [15:34:00 23/10/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [15:34:00 23/10/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:34:00 23/10/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:34:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [15:34:00 23/10/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [15:34:00 23/10/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [15:34:00 23/10/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [15:34:00 23/10/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:34:00 23/10/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [15:34:00 23/10/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Drager st: NotStopd
t0: [10:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [10:00:00 23/10/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 23/10/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [10:00:00 23/10/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [10:00:00 23/10/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [12:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [12:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/10/2014] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 23/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 23/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 23/10/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 23/10/2014] id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 23/10/2014] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [12:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 23/10/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 23/10/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [12:00:00 23/10/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [12:00:00 23/10/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 23/10/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 9 st: NotStopd t0: [12:00:00 23/10/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 23/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 23/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 23/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/10/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 23/10/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [14:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [14:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [16:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/10/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 117 u1: BPM st: NotStopd t0: [16:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 23/10/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 23/10/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/10/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 23/10/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 23/10/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 110.88 vu: ml t0: [16:00:00 23/10/2014] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7 vu: ml t0: [16:00:00 23/10/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [12:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Morphine Sulfate el: 100 cu: CCU cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [18:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [18:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [18:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [19:00:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [19:00:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [19:00:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 23/10/2014] tf: [21:22:00 23/10/2014] dt: 202 id: Morphine Sulfate el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 23/10/2014] id: Morphine Sulfate el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 30 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:15:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [19:15:00 23/10/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Comfort Measures st: NotStopd t0: [19:15:00 23/10/2014] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:15:00 23/10/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:15:00 23/10/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:15:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [19:15:00 23/10/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:15:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:15:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [19:15:00 23/10/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:15:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:15:00 23/10/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:15:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:15:00 23/10/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:15:00 23/10/2014] id: Morphine Sulfate el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 35 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:15:00 23/10/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 23/10/2014] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [21:00:00 23/10/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 23/10/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [21:00:00 23/10/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [21:00:00 23/10/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 23/10/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd